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Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital
BACKGROUND AND OBJECTIVES: Pediatric settings often use a patient-centered medical home model in caring for patients in the outpatient setting and for attempting to connect inpatient care with outpatient follow-up. This medical home model has proven to be beneficial in many aspects of patient care,...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
King Faisal Specialist Hospital and Research Centre
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603069/ https://www.ncbi.nlm.nih.gov/pubmed/31304221 http://dx.doi.org/10.1016/j.ijpam.2019.02.006 |
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author | Jani, Shuchi Fogel, Joshua Kelly, Clare |
author_facet | Jani, Shuchi Fogel, Joshua Kelly, Clare |
author_sort | Jani, Shuchi |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Pediatric settings often use a patient-centered medical home model in caring for patients in the outpatient setting and for attempting to connect inpatient care with outpatient follow-up. This medical home model has proven to be beneficial in many aspects of patient care, but there needs to be a good transition between inpatient and outpatient services. Our goal in this study is to determine the association of particular variables with adherence to outpatient follow-up after a general inpatient stay, in the pediatric population. METHODS: In a retrospective sample of 221 patients, we study the association of variables such as demographics, medical history, hospital discharge and appointments, and caregiver information, with patient adherence to outpatient appointments after discharge from pediatric inpatient treatment. RESULTS: We found that increased length of hospital stay and a non English-speaking caregiver were each associated with increased odds for adherence. Discharge diagnosis of respiratory illness and that of neurology/psychiatry/toxicology were associated with decreased odds for adherence. None of the demographic and medical history variables were associated with adherence. CONCLUSIONS: Our findings offer guidance to clinicians for the types of patients who may need closer follow-up and interventions set in place to remind these patients of the importance of attending an outpatient appointment. |
format | Online Article Text |
id | pubmed-6603069 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | MEDLINE/PubMed |
spelling | pubmed-66030692019-07-12 Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital Jani, Shuchi Fogel, Joshua Kelly, Clare Int J Pediatr Adolesc Med Original Research Article BACKGROUND AND OBJECTIVES: Pediatric settings often use a patient-centered medical home model in caring for patients in the outpatient setting and for attempting to connect inpatient care with outpatient follow-up. This medical home model has proven to be beneficial in many aspects of patient care, but there needs to be a good transition between inpatient and outpatient services. Our goal in this study is to determine the association of particular variables with adherence to outpatient follow-up after a general inpatient stay, in the pediatric population. METHODS: In a retrospective sample of 221 patients, we study the association of variables such as demographics, medical history, hospital discharge and appointments, and caregiver information, with patient adherence to outpatient appointments after discharge from pediatric inpatient treatment. RESULTS: We found that increased length of hospital stay and a non English-speaking caregiver were each associated with increased odds for adherence. Discharge diagnosis of respiratory illness and that of neurology/psychiatry/toxicology were associated with decreased odds for adherence. None of the demographic and medical history variables were associated with adherence. CONCLUSIONS: Our findings offer guidance to clinicians for the types of patients who may need closer follow-up and interventions set in place to remind these patients of the importance of attending an outpatient appointment. King Faisal Specialist Hospital and Research Centre 2019-03 2019-02-23 /pmc/articles/PMC6603069/ /pubmed/31304221 http://dx.doi.org/10.1016/j.ijpam.2019.02.006 Text en © 2019 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Article Jani, Shuchi Fogel, Joshua Kelly, Clare Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
title | Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
title_full | Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
title_fullStr | Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
title_full_unstemmed | Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
title_short | Factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
title_sort | factors associated with outpatient follow-up after a pediatric inpatient stay at a community hospital |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603069/ https://www.ncbi.nlm.nih.gov/pubmed/31304221 http://dx.doi.org/10.1016/j.ijpam.2019.02.006 |
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