Evidence map›Paper›PMID 34020106›Full record

ArticleAcademic pediatrics

A Qualitative Study of Family Caregiver Perceptions of High-Quality Care at a Pediatric Complex Care Center.

Justin A Yu, Stacey Cook, Christina Imming, Liana Knezevich, Kristin Ray, Amy Houtrow, Abby R Rosenberg, Yael Schenker

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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
  3. Article
  4. Article
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

8 authors.

Justin A YuDepartment of Pediatrics, Division of Pediatric Hospital Medicine, University of Pittsburgh School of Medicine (JA Yu and C Imming), Pittsburgh, Pa; Palliative Research Center (PaRC), University of Pittsburgh School of Medicine (JA Yu and Y Schenker), Pittsburgh, Pa. Electronic address: yuja@upmc.edu.
Stacey CookDepartment of General Pediatrics, Division of Complex Care, Boston Children's Hospital (S Cook), Boston Mass.
Christina ImmingDepartment of Pediatrics, Division of Pediatric Hospital Medicine, University of Pittsburgh School of Medicine (JA Yu and C Imming), Pittsburgh, Pa; Complex Care Center of UPMC Children's Hospital of Pittsburgh (C Imming and L Knezevich), Pittsburgh, Pa; Department of Pediatrics, Division of General Academic Pediatrics, University of Pittsburgh School of Medicine (C Imming and K Ray), Pittsburgh, Pa.
Liana KnezevichComplex Care Center of UPMC Children's Hospital of Pittsburgh (C Imming and L Knezevich), Pittsburgh, Pa.
Kristin RayDepartment of Pediatrics, Division of General Academic Pediatrics, University of Pittsburgh School of Medicine (C Imming and K Ray), Pittsburgh, Pa.
Amy HoutrowDepartment of Physical Medicine and Rehabilitation, Division of Pediatric Rehabilitation Medicine, University of Pittsburgh School of Medicine (A Houtrow), Pittsburgh, Pa.
Abby R RosenbergDepartment of Pediatrics, University of Washington School of Medicine (AR Rosenberg), Seattle, Wash; Palliative Care and Resilience Lab, Seattle Children's Research Institute (AR Rosenberg), Seattle, Wash.
Yael SchenkerPalliative Research Center (PaRC), University of Pittsburgh School of Medicine (JA Yu and Y Schenker), Pittsburgh, Pa; Division of General Internal Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine (Y Schenker), Pittsburgh, Pa.

Funding

NRSA Training CoreTL1TR001858 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RADOMSKI, THOMAS, RUBIO, DORIS M · 2016 to 2025
$11.1M
The Promoting Resilience in Stress Management (PRISM) Intervention: a multi-site randomized controlled trial for Adolescents and Young Adults receiving Hematopoietic Cell TransplantationR01CA225629 · NCI · SEATTLE CHILDREN'S HOSPITAL · PI ROSENBERG, ABBY R, YI-FRAZIER, JOYCE P · 2018 to 2022
$2.6M
Midcareer Investigator Award in Patient-Oriented Research: Yael Schenker, MD, MASK24AG070285 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHENKER, YAEL · 2021 to 2025
$841k
NCATS NIH HHS TL1 TR001858NCI NIH HHS R01 CA225629NIA NIH HHS K24 AG070285
6 · The paper itself

Abstract

objectivePediatric complex care centers are an increasingly common approach to address the needs of children with medical complexity (CMC). We sought to better understand CMC caregivers' perceptions of what constitutes high-quality care at a complex care center.

methodsWe conducted a cross-sectional qualitative study of family caregivers of CMC receiving care at a pediatric complex care center situated within a tertiary-care children's hospital. In-depth, semistructured interviews focused on caregivers' general experiences at the clinic, positive and negative experiences related to core components of the pediatric medical home, and recommendations for improvements. We thematically analyzed transcripts through a mixed inductive and deductive approach, using constant comparative methodology, with the pediatric medical home model as an organizing framework.

resultsWe conducted interviews with 20 participants (18 [90%] biological parents; 19 [95%] female; mean age 39 years) in outpatient settings. Caregivers described 2 major themes: 1) the value of having a clinician "quarterback" who is in-charge of their child's care and caregivers' go-to for questions and concerns, and 2) wanting clinicians who are personally invested in and willing to "go above and beyond" for their child. Participants discussed how and which components of the medical home model enable CMC clinicians to meet these needs.

conclusionsFamily caregivers of CMC want clinicians who take responsibility for managing their child's overall care and demonstrate personal commitment to ensuring their child's well-being. Multiple aspects of the medical home framework, rather than care coordination alone, help meet caregivers' perceptions of high-quality complex care.

Indexed as

CaregiversParentsAdultChildCross-Sectional StudiesFamilyFemaleHumansQualitative Researchchildren with medical complexitypediatric complex care centerpediatric medical home

Identifiers

PMID34020106
PMCPMC9979253

What OpenQuestion holds

Textmetadata
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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.