Abstract
Introduction: Care for many children with medical complexity (CMC) is fragmented, leading to increased family dissatisfaction and stress. We evaluated the impact of an Advanced-Practice Nurse and Care Coordination Assistant model medical care coordination program (MCCP) for CMC at an urban tertiary pediatric hospital on caregivers’ perceptions of several health care indicators. Method: A retrospective pre-post survey was administered to parents of CMC enrolled in an MCCP for a minimum of 6 months. Questions were grouped into four domains: quality of life, caregiver satisfaction, care coordination, and caregiver self-efficacy. Mean scores of questions in each domain were compared from before program enrollment with those at the time of survey completion, using paired sample t tests. Result: There was an increase in the mean score in all four domains. Discussion: Parents of CMC experience an Advanced-Practice Nurse and Care Coordination Assistant model MCCP to be effective in improving the navigation of and satisfaction with their child's health care environment.
Original language | English (US) |
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Pages (from-to) | 325-332 |
Number of pages | 8 |
Journal | Journal of Pediatric Health Care |
Volume | 34 |
Issue number | 4 |
DOIs | |
State | Published - Jul 1 2020 |
Keywords
- Children with medical complexity
- care coordination
- quality of life
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health