Evidence map›Paper›PMID 40044494›Full record

ArticleBMJ paediatrics open2025

Qualitative evaluation of a hospital-inpatient service for children with medical complexity.

Swapnil Ghotane, Bethan Page, Rohana Ramachandran, Ingrid Wolfe, Lorna Katharine Fraser

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Swapnil GhotaneDepartment of Women and Children's Health, King's College London, London, UK.
Bethan PageCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK bethan.page@kcl.ac.uk.ORCID http://orcid.org/0000-0002-9937-6176
Rohana RamachandranEvelina London Children's Healthcare, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Ingrid WolfeDepartment of Women and Children's Health, King's College London, London, UK.ORCID http://orcid.org/0000-0002-4717-7634
Lorna Katharine FraserDepartment of Women and Children's Health, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the experiences and perceptions of parents and professionals of a hospital-inpatient service for children with medical complexity (CMC).

designSemi-structured qualitative interviews with parents of CMC and healthcare professionals from one hospital site in England. Data were analysed using thematic analysis.

findingsNine parents and 15 healthcare professionals participated. Two overarching themes were developed: (1) The service is an anchor for families and professionals and (2) The service is not a panacea. Participants valued the single point of contact for families and professionals involved in the child's care during hospital stays. Families felt heard, supported and involved in their child's care with the holistic needs of the child and family centre stage. Unclear boundaries around the role of the service and limited capacity of the team were key challenges. Professionals and families described a cliff edge for many families post hospital discharge.

conclusionA hospital-inpatient service for CMC can improve care coordination and discharge planning and help build strong relationships with parents so that they feel listened to and supported. Holistic services like this need clear boundaries and remits, as there is danger of 'mission creep'. A hospital-inpatient service should not be seen as a panacea for meeting all the needs of CMC and their families. It is critical to understand how the service integrates with the wider health and care system.

Indexed as

Child Health ServicesParentsAttitude of Health PersonnelChildChild, PreschoolEnglandFemaleHumansInpatientsInterviews as TopicMalePatient DischargeProfessional-Family RelationsQualitative ResearchCaregiversChild HealthHealth services researchQualitative research

Identifiers

PMID40044494
PMCPMC11883592

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Registered trials

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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.