Evidence map›Paper›PMID 32099662›Full record

ArticlePilot and feasibility studies2020

Implementation of a multidisciplinary discharge videoconference for children with medical complexity: a pilot study.

Noga L Ravid, Kayla Zamora, Roberta Rehm, Megumi Okumura, John Takayama, Sunitha Kaiser

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
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  7. Telemedicine across the continuum of neonatal-perinatal care.Seminars in fetal & neonatal medicine · 2022
    Review
  8. Article
  9. Review
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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

6 authors.

Noga L Ravid1Department of Pediatrics, University of California, San Francisco, 550 16th St. 5th floor, Box 0110, San Francisco, CA 94143 USA.ORCID 0000-0002-7948-2473
Kayla Zamora2San Francisco School of Medicine, University of California, 513 Parnassus Avenue, San Francisco, CA 94143 USA.
Roberta Rehm3Department of Family Health Care Nursing, University of California at San Francisco, 2 Koret Way, San Francisco, CA 94143 USA.
Megumi Okumura1Department of Pediatrics, University of California, San Francisco, 550 16th St. 5th floor, Box 0110, San Francisco, CA 94143 USA.
John Takayama1Department of Pediatrics, University of California, San Francisco, 550 16th St. 5th floor, Box 0110, San Francisco, CA 94143 USA.
Sunitha Kaiser1Department of Pediatrics, University of California, San Francisco, 550 16th St. 5th floor, Box 0110, San Francisco, CA 94143 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe hospital to home transition for children with medical complexity (CMC) poses many challenges, including suboptimal communication between the hospital and medical home. Our objective was to evaluate the implementation of a discharge videoconference incorporating the patient, caregiver, primary care provider (PCP), hospitalist physician, and case manager.

methodsWe evaluated implementation of this pilot intervention at a freestanding tertiary care children's hospital using mixed methods. A discharge videoconference was conducted for hospitalized children (< 18 years old) meeting complex chronic disease (C-CD) criteria. We collected field notes and conducted surveys and semi-structured interviews. Outcomes included adoption, cost, acceptability, feasibility, and appropriateness. Adoption, cost, and acceptability were analyzed using descriptive statistics. Acceptability, feasibility, and appropriateness were summarized using thematic content analysis.

results

conclusionsThis novel, visual approach to discharge communication for CMC had low adoption, possibly related to recruitment strategy. The videoconference posed low time burdens, and participating physicians and caregivers found them acceptable due to a variety of benefits. We identified several feasibility barriers that could be targeted in future implementation efforts.

Indexed as

Children with medical complexityHospital to home transitionTelemedicine

Identifiers

PMID32099662
PMCPMC7027051

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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.