Caregiver Perspectives on Telemedicine for Postdischarge Care for Children With Medical Complexity: A Qualitative Study

被引:5
作者
Frush, Jennifer M. [1 ]
Ming, David Y. [2 ,3 ]
Crego, Nancy [4 ]
Paden, Mary E. [4 ]
Jones-Hepler, Bonnie [4 ]
Misiewicz, Remi [4 ]
Jarrett, Valerie A. [5 ]
Docherty, Sharron L. [4 ,5 ]
机构
[1] Boston Med Ctr, Dept Emergency Med, Housestaff, BCD Bldg,1st Fl,800 Harrison Ave, Boston, MA 02118 USA
[2] Duke Univ, Sch Med, Dept Pediat, Dept Med, Durham, NC USA
[3] Duke Univ, Dept Populat Hlth, Sch Med, Durham, NC USA
[4] Duke Univ, Sch Nursing, Durham, NC USA
[5] Duke Univ, Sch Med, Dept Pediat, Durham, NC USA
基金
美国国家卫生研究院;
关键词
Telemedicine; children with medical complexity; caregiver self-ef fi- cacy; posthospitalization; HEALTH-CARE; HOME; INTERVENTIONS; COORDINATION; PERCEPTIONS; TRANSITIONS; TELEHEALTH;
D O I
10.1016/j.pedhc.2022.12.009
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction: The objectives of this study were to describe the per-spectives of caregivers of children with medical complexity on telemed-icine video visits (TMVV) for posthospitalization care and determine whether TMVV may be a viable alternative to in-person follow-up.Method: Our qualitative descriptive study included semistructured telephone interviews with 12 caregivers. Data analysis wasconducted using an adapted Colaizzi's descriptive phenomenologi-cal method for thematic construction. Results: Results were organized into four themes describing care-givers' experiences with TMVV: (1) promoted caregiver self-effi- cacy and sense of independence; (2) TMVV as convenient, cost-effective, comprehensive, and acceptable; (3) supported caregiver decision-making and problem-solving; and (4) fostered delivery of family-centered care.Discussion: Although in-person visits are necessary for some circumstances, TMVV can serve as a convenient and acceptable alternative for posthospitalization follow-up in children with medical complexity. Overall, caregivers in this study were satisfied with the quality of care and individualized experience of TMVV. J Pediatr Health Care. (2023) 37, 356-363
引用
收藏
页码:356 / 363
页数:8
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