Accepted for/Published in: JMIR Pediatrics and Parenting
Date Submitted: Dec 17, 2019
Open Peer Review Period: Dec 17, 2019 - Jan 29, 2020
Date Accepted: Feb 10, 2020
(closed for review but you can still tweet)
Assessment of families’ degree of satisfaction with pediatric telehomecare: a pilot study in Catalonia
pediatric home hospitalization improves the quality of life of the child and their family, involving them in the child’s care, at the same time as it favours family work-life balance. In this context, technology guarantees assistance accessibility, providing security to users. From the perspective of the healthcare system, it could lower the demand for hospital services and reduce hospitalization costs.
to assess families’ degree of satisfaction and acceptability of pediatric telehomecare and explore the clinical characteristics of children benefiting from the program.
95 children participated in the home hospitalization pilot program operated by Sant Joan de Déu Hospital in Barcelona. Families were visited once a day and were monitored using a kit consisting of a scale, a thermometer, a pulse oximeter and a blood pressure monitor. Data on parental experience, satisfaction, safety and preference for care was collected by means of a questionnaire. Data on children characteristics were collected from medical records. Descriptive and comparative statistics were used to analyse the data.
65 respondents expressed very high levels of satisfaction. Families report their experience as being very positive, preferring home hospitalization in 96% of cases and giving a high score to the use of telemonitoring devices. The program did not record any readmissions after 72 hours and shows a very low level of incidents. The user profile was very heterogeneous, highlighting an important number of respiratory patients and patients with infections that required endovenous antibiotherapy.
pediatric home hospitalization through telemonitoring is a feasible and desirable alternative, both from the perspective of families and the hospital. The results of this analysis show a very high degree of satisfaction with the care received and that the home-based telemonitoring system resulted in few incidents.
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