Evidence map›Paper›PMID 32029432›Full record

ArticleHospital pediatrics2020

Parent Perspectives During Hospital Readmissions for Children With Medical Complexity: A Qualitative Study.

Jana C Leary, Rachel Krcmar, Grace H Yoon, Karen M Freund, Amy M LeClair

Open access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Family Caregivers' Experiences of Services for Children With Medical Complexity: A Systematic Review and Qualitative Evidence Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
  2. Article
  3. The health and well-being of children with medical complexity and their parents' when admitted to inpatient care units: A scoping review.Journal of child health care : for professionals working with children in the hospital and community · 2026
    Article
  4. Article
  5. Article
  6. Experiences of Inpatient Healthcare Services Among Children With Medical Complexity and Their Families: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Jana C LearyDepartment of Pediatrics, Floating Hospital for Children, jleary@tuftsmedicalcenter.org.
Rachel KrcmarSchool of Medicine, Tufts University, Boston, Massachusetts; and.
Grace H YoonDepartment of Health Law, Policy, and Management, School of Public Health, Boston University, Boston, Massachusetts.
Karen M FreundDepartment of Medicine.
Amy M LeClairTufts Medical Center, and.
Boston University · USTufts Children's Hospital · USTufts Medical Center · USTufts University · US

Funding

Tufts Clinical and Translational Research InstituteTL1TR001062 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$2.1M
NCATS NIH HHS TL1 TR001062
6 · The paper itself

Abstract

objectivesChildren with medical complexity (CMC) have high readmission rates, but relatively little is known from the parent perspective regarding care experiences surrounding and factors contributing to readmissions. We aimed to elicit parent perspectives on circumstances surrounding 30-day readmissions for CMC.

methodsWe conducted 20 semistructured interviews with parents of CMC experiencing an unplanned 30-day readmission at 1 academic medical center between December 2016 and January 2018, asking about topics such as previous discharge experiences, medical services and resources, and home environment and social support. Interviews were recorded, professionally transcribed, and analyzed thematically by using a modified grounded theory approach.

resultsChildren ranged in age from 0 to 15 years, with neurologic complex chronic conditions being predominant (35%). Although the majority of parents did not identify any factors that they perceived to have contributed to readmission, themes emerged regarding challenges associated with chronicity of care and transitions of care that might influence readmissions, including frequency of hospital use, symptom confusion, lack of inpatient continuity, resources needed but not received, and difficulty filling prescriptions.

conclusionsParents identified multiple challenges associated with chronicity of medical management and transitions of care for CMC. Future interventions aiming to improve continuity and communication between admissions, ensure that home services are provided when applicable and prescriptions are filled, and provide comprehensive support for families in both the short- and long-term may help improve patient and family experiences while potentially decreasing readmissions.

Indexed as

Attitude to HealthContinuity of Patient CarePatient ReadmissionAcademic Medical CentersAdolescentChildChild, PreschoolChronic DiseaseFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansInfantInfant, NewbornInterviews as TopicMale

Identifiers

PMID32029432
PMCPMC7041550
OpenAlexW3005297432

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.