• Pediatrics · Aug 2012

    Comparative Study

    Family experiences and pediatric health services use associated with family-centered rounds.

    • Dennis Z Kuo, Laura L Sisterhen, Ted E Sigrest, James M Biazo, Mary E Aitken, and Christopher E Smith.
    • Center for Applied Research and Evaluation, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72202, USA. dzkuo@uams.edu
    • Pediatrics. 2012 Aug 1; 130 (2): 299-305.

    BackgroundFamily-centered rounds (FCR) are defined as interdisciplinary bedside teaching rounds with active family participation. The objective of this study was to examine the association of FCR with family experiences and health services use.MethodsProspective study comparing families with a child admitted to general pediatric inpatient services with and without FCR. The presence of FCR elements was assessed before study enrollment. Study data were obtained by an in-person interview, a follow-up phone interview <1 week after discharge, and medical record review. Family outcomes were informed by Consumer Assessment of Healthcare Providers and Systems measures. Health service use outcomes included hour of discharge, number of medications, and overall charges. Primary analyses included χ(2) and multivariate regression. Secondary analyses by using propensity score matching were performed to account for differences on observed variables.ResultsA total of 140 of 203 eligible families were enrolled; 97 completed follow-up surveys (49 on FCR team). Compared with non-FCR, FCR families were more likely to report consistent medical information (P < .001), the option of discussing care plan (P < .001), doctors listening carefully (P < .01), and doctors showing respect (P < .001). No differences were found in number of medications (mean 2.4 vs 2.9, P = .26) or discharge time (mean 3:06 pm versus 2:43 pm, P = .39). No difference was found for hospital charges after adjusting for length of stay outliers.ConclusionsFCR are associated with higher parent satisfaction, consistent medical information, and care plan discussion, with no additional burden to health service use. Additional studies should assess FCR under different settings of care.

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