ArticleChild: care, health and development2025
Hospital to Home Transitions for Children With Medical Complexity: A Scoping Review of Healthcare Professionals Experiences.
Article in Child: care, health and development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- An Innovative Transitional Care Unit for Hospital to Home Transition of Children With Medical Complexity: A Qualitative Study of Parents' Experiences.Child: care, health and development · 2026Article
- Hospital to Home Transitions for Children With Medical Complexity: A Scoping Review of Healthcare Professionals Experiences.Child: care, health and development · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundHospital-to-home (H2H) transitions for children with medical complexity (CMC) are challenging and time-intensive, often overwhelming parents due to insufficient care coordination, poor communication among healthcare professionals (HCPs), and limited family education. These shortcomings impact children, families and HCPs alike, highlighting the urgent need for improve H2H care for CMC. A key knowledge gap concerns HCP perspectives, as they play a pivotal role in ensuring care aligns with family needs.
objectiveTo synthesize HCP needs, views and experiences with H2H transitions for CMC and inform optimized care strategies. ELIGIBILITY CRITERIA: Eligible studies were peer-reviewed original research on HCP experiences with H2H transitions for CMC, without restrictions on healthcare setting, publication year or study design. DATA SOURCES: Systematic searches were conducted in MEDLINE, Embase, PsycINFO and CINAHL through July 2024. DATA EXTRACTION AND ANALYSIS: Two independent reviewers screened studies using predefined inclusion criteria. Study characteristics and HCP perspectives were extracted using a piloted form. Qualitative content analysis was used to synthesize HCP experiences. The resulting themes were organized using the socio-ecological model, which describes elements at individual, interpersonal, organizational, community and societal levels.
resultsOf 4087 identified records, 40 reports met eligibility criteria. Eleven themes were identified, with care coordination and continuity challenges spanning all socio-ecological levels. Key challenges included HCP knowledge gaps and emotional burden (individual level), strained communication with parents and among HCPs (interpersonal level), inadequate care and educational plans (organizational level), restricted resources (community level) and bureaucratic hurdles (society level).
conclusionThis scoping review identifies multi-level challenges HCPs face in supporting H2H transitions for CMC. The findings can guide the development of supportive interventions and healthcare innovations to strengthen care coordination, professional preparation, and cross-setting collaboration. In addition, they provide direction for future targeted research. SUMMARY: This scoping review synthesizes healthcare professionals' experiences from 40 international studies, identifying 11 key themes structured within the socio-ecological model. This offers a comprehensive framework to understand and improve hospital-to-home transitional care for children with medical complexity. The findings can guide the development of supportive interventions, including care coordination programs, structured education for families and professionals, and transitional care units. Further research is needed to evaluate the effectiveness, feasibility, and contextual adaptability of transitional care interventions, and to strengthen interprofessional collaboration across hospital and community settings.
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