ArticleBMJ quality & safety2017
Socioeconomic status influences the toll paediatric hospitalisations take on families: a qualitative study.
Article in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Hospital to Home Outcomes (H2O): A Study to Improve the Fluidity of Transitions Between Hospital and Home
Supplement to Hospital to Home Outcomes (H2O): A Study to Improve the Fluidity of Transitions Between Hospital and Home
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- The challenges of medically complex breastfed children and their families: A systematic review.Maternal & child nutrition · 2021Pooled it
- Lost Earnings and Nonmedical Expenses of Pediatric Hospitalizations.Pediatrics · 2018Trial
- Effects of a 1-Time Nurse-Led Telephone Call After Pediatric Discharge: The H2O II Randomized Clinical Trial.JAMA pediatrics · 2018Trial
- Postdischarge Nurse Home Visits and Reuse: The Hospital to Home Outcomes (H2O) Trial.Pediatrics · 2018Trial
- Development and Feasibility of a Novel mHealth Resource for Food Insecurity: Mixed Methods Cohort Study.Journal of medical Internet research · 2025Article
- Quality Improvement to Identify and Address Food Insecurity During Pediatric Hospitalizations.Hospital pediatrics · 2024Article
- Building a regional pediatric asthma learning health system in support of optimal, equitable outcomes.Learning health systems · 2024Article
- Article
- Association of Racial Disparities With In-Hospital Outcomes in Severe Bronchopulmonary Dysplasia.JAMA pediatrics · 2022Article
- Child Opportunity Index 2.0 and acute care utilization among children with medical complexity.Journal of hospital medicine · 2022Article
- Caregiver Inclusivity and Empowerment During Family-Centered Rounds.Hospital pediatrics · 2022Article
- A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement.Journal of patient experience · 2021Article
- Paediatric clinical and social concerns identified by home visit nurses in the immediate postdischarge period.Journal of advanced nursing · 2020Article
- Patient safety in marginalised groups: a narrative scoping review.International journal for equity in health · 2020Article
- Health literacy of parents of very preterm infants at NICU admission and discharge: a prospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Article
- Mapping Neighborhood Health Geomarkers To Clinical Care Decisions To Promote Equity In Child Health.Health affairs (Project Hope) · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundStress caused by hospitalisations and transition periods can place patients at a heightened risk for adverse health outcomes. Additionally, hospitalisations and transitions to home may be experienced in different ways by families with different resources and support systems. Such differences may perpetuate postdischarge disparities.
objectiveWe sought to determine, qualitatively, how the hospitalisation and transition experiences differed among families of varying socioeconomic status (SES).
methodsFocus groups and individual interviews were held with caregivers of children recently discharged from a children's hospital. Sessions were stratified based on SES, determined by the percentage of individuals living below the federal poverty level in the census tract or neighbourhood in which the family lived. An open-ended, semistructured question guide was developed to assess the family's experience. Responses were systematically compared across two SES strata (tract poverty rate of <15% or ≥15%).
resultsA total of 61 caregivers who were 87% female and 46% non-white participated; 56% resided in census tracts with ≥15% of residents living in poverty (ie, low SES). Interrelated logistical (eg, disruption in-home life, ability to adhere to discharge instructions), emotional (eg, overwhelming and exhausting nature of the experience) and financial (eg, cost of transportation and meals, missed work) themes were identified. These themes, which were seen as key to the hospitalisation and transition experiences, were emphasised and described in qualitatively different ways across SES strata.
conclusionsFamilies of lower SES may experience challenges and stress from hospitalisations and transitions in different ways than those of higher SES. Care delivery models and discharge planning that account for such challenges could facilitate smoother transitions that prevent adverse events and reduce disparities in the postdischarge period. TRIAL REGISTRATION NUMBER: NCT02081846; Pre-results.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.