Hospital-to-home interventions, use, and satisfaction: A meta-analysis

Michelle Y. Hamline, Rebecca L. Speier, Paul Dai Vu, Daniel J Tancredi, Alia R. Broman, Lisa N. Rasmussen, Brian P. Tullius, Ulfat Shaikh, Su-Ting Terry Li

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

CONTEXT: Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with difficulties associated with increased health care use and poor patient satisfaction. OBJECTIVE: In this review, we determine which pediatric hospital discharge interventions affect subsequent health care use or parental satisfaction compared with usual care. DATA SOURCES: We searched 7 bibliographic databases and 5 pediatric journals. STUDY SELECTION: Inclusion criteria were: (1) available in English, (2) focused on children <18 years of age, (3) pediatric data reported separately from adult data, (4) not focused on normal newborns or pregnancy, (5) discharge intervention implemented in the inpatient setting, and (6) outcomes of health care use or caregiver satisfaction. Reviews, case studies, and commentaries were excluded. DATA EXTRACTION: Two reviewers independently abstracted data using modified Cochrane data collection forms and assessed quality using modified Downs and Black checklists. RESULTS: Seventy one articles met inclusion criteria. Although most interventions improved satisfaction, interventions variably reduced use. Interventions focused on follow-up care, discharge planning, teach back-based parental education, and contingency planning were associated with reduced use across patient groups. Bundled care coordination and family engagement interventions were associated with lower use in patients with chronic illnesses and neonates. LIMITATIONS: Variability limited findings and reduced generalizability. CONCLUSIONS: In this review, we highlight the utility of a pediatric discharge bundle in reducing health care use. Coordinating follow-up, discharge planning, teach back-based parental education, and contingency planning are potential foci for future efforts to improve hospitalto-home transitions.

Original languageEnglish (US)
Article numbere20180442
JournalPediatrics
Volume142
Issue number5
DOIs
StatePublished - Nov 1 2018

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Meta-Analysis
Delivery of Health Care
Patient Discharge
Pediatrics
Newborn Infant
Bibliographic Databases
Education
Aftercare
Pediatric Hospitals
Quality of Health Care
Patient Safety
Checklist
Patient Satisfaction
Caregivers
Inpatients
Chronic Disease
Pregnancy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Hamline, M. Y., Speier, R. L., Vu, P. D., Tancredi, D. J., Broman, A. R., Rasmussen, L. N., ... Li, S-T. T. (2018). Hospital-to-home interventions, use, and satisfaction: A meta-analysis. Pediatrics, 142(5), [e20180442]. https://doi.org/10.1542/peds.2018-0442

Hospital-to-home interventions, use, and satisfaction : A meta-analysis. / Hamline, Michelle Y.; Speier, Rebecca L.; Vu, Paul Dai; Tancredi, Daniel J; Broman, Alia R.; Rasmussen, Lisa N.; Tullius, Brian P.; Shaikh, Ulfat; Li, Su-Ting Terry.

In: Pediatrics, Vol. 142, No. 5, e20180442, 01.11.2018.

Research output: Contribution to journalArticle

Hamline, MY, Speier, RL, Vu, PD, Tancredi, DJ, Broman, AR, Rasmussen, LN, Tullius, BP, Shaikh, U & Li, S-TT 2018, 'Hospital-to-home interventions, use, and satisfaction: A meta-analysis', Pediatrics, vol. 142, no. 5, e20180442. https://doi.org/10.1542/peds.2018-0442
Hamline MY, Speier RL, Vu PD, Tancredi DJ, Broman AR, Rasmussen LN et al. Hospital-to-home interventions, use, and satisfaction: A meta-analysis. Pediatrics. 2018 Nov 1;142(5). e20180442. https://doi.org/10.1542/peds.2018-0442
Hamline, Michelle Y. ; Speier, Rebecca L. ; Vu, Paul Dai ; Tancredi, Daniel J ; Broman, Alia R. ; Rasmussen, Lisa N. ; Tullius, Brian P. ; Shaikh, Ulfat ; Li, Su-Ting Terry. / Hospital-to-home interventions, use, and satisfaction : A meta-analysis. In: Pediatrics. 2018 ; Vol. 142, No. 5.
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