Evidence map›Paper›PMID 41483102›Full record

ArticleEuropean journal of pediatrics2026

Caregiver priorities and healthcare outcomes in a pediatric home care service for children with medical complexity: a quasi-experimental study.

Kyua Kim, Eunyong Kim, Hyunjin Seo, Myoung Sun Gong, Hooyun Lee, Seung Yeon Kwon, Eun Kyoung Choi

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Article in European journal of pediatrics, 2026. 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

7 authors.

Kyua KimCollege of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea.ORCID http://orcid.org/0009-0006-2971-2927
Eunyong KimPediatric Home Care Team, Severance Children's Hospital, Seoul, South Korea.ORCID http://orcid.org/0000-0003-4168-1351
Hyunjin SeoPediatric Home Care Team, Severance Children's Hospital, Seoul, South Korea.
Myoung Sun GongPediatric Home Care Team, Severance Children's Hospital, Seoul, South Korea.
Hooyun LeeCollege of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea.ORCID http://orcid.org/0000-0001-7346-7902
Seung Yeon Kwon *Pediatric Home Care Team, Severance Children's Hospital, Seoul, South Korea. pedpall@yuhs.ac.ORCID http://orcid.org/0000-0003-3535-7475
Eun Kyoung Choi *College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea. ekchoi@yuhs.ac.ORCID http://orcid.org/0000-0003-4622-2437

Funding

College of Nursing, Yonsei University 2024 faculty-student research funds granted (6-2024-0029)National Research Foundation of Korea Brain Korea 21 FOUR Project
6 · The paper itself

Abstract

This study aimed to evaluate the outcomes of a pediatric home care service (PHCS) provided to children with medical complexity (CMC) and to identify and prioritize the unmet care needs of their caregivers. This quasi-experimental study was conducted from April 2024 to January 2025 among 66 caregivers of CMC who had received a PHCS for more than 1 month at a tertiary hospital in South Korea. Cross-sectional analysis examined PHCS provision and caregivers' unmet needs using the Borich Needs Assessment Model, Importance-Performance Analysis, and the Locus for Focus Model, while retrospective longitudinal analysis of electronic medical records (EMR) and health insurance data (HIRA) assessed changes in healthcare utilization before and after PHCS participation. Most children in the PHCS required multiple medical supports, including gastrostomy feeding (91%), suctioning (96%), and mechanical ventilation (68%). PHCS involved physician (median 3/year), nurse (13/year), and home therapy visits (22.5/year). Phone consultations were made available during business hours. After the PHCS began, there were significant decreases in pediatric intensive care unit admissions (54.5 to 19.7%, p < 0.001), hospitalizations (89.4 to 69.7%, p = 0.015), and the number of outpatient department visits (11.7 ± 3.8 to 10.4 ± 2.8, p = 0.006). The caregivers were highly satisfied, but the key unmet needs included emergency room communication, education on disease prevention, and referral coordination.

conclusionPHCS are associated with decreased healthcare utilization among CMC. Although caregivers reported high satisfaction with the PHCS, the identified unmet needs provide evidence for enhancing service quality and inform future intervention research. WHAT IS KNOWN: • Multidisciplinary pediatric home care models integrated within tertiary care institutions are effective in managing children with medical complexity. • Caregivers frequently report high levels of unmet needs due to the intensity and complexity of home caregiving responsibilities. WHAT IS NEW: • Pediatric home care services are associated with reduced pediatric intensive care unit admissions and hospitalizations among children with medical complexity. • The identified caregivers' unmet needs inform the optimization of pediatric home care services and guide future intervention development.

Indexed as

CaregiversHome Care ServicesPatient Acceptance of Health CareAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHospitalizationHumansInfantMaleNeeds AssessmentRepublic of KoreaRetrospective StudiesCaregiver satisfactionChildren with medical complexityHealthcare utilizationPediatric home care serviceUnmet care needs

Identifiers

PMID41483102

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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.