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Quality of transitional care of children with chronic diseases: a cross-sectional study

Qualidade da transição do cuidado de crianças com doenças crônicas: um estudo transversal

Calidad del cuidado transicional de niños con enfermedades crónicas: un estudio transversal

Abstract

Objective:

To analyze which factors may be associated with the quality-of-care transition of children with chronic diseases from the hospital to their home.

Method:

A cross-sectional, quantitative study, carried out in two hospitals in Southern Brazil, from February to September 2019. Participants included 167 family members of children with chronic disease. Data collection took place through a demographic questionnaire, and the use of the Brazilian version of the Care Transitions Measure (CTM-15).

Results:

The average score for the quality of care transition was 90.1 (sd = 19.5) (0–100). Factor 1, “Health management preparation”, was the one with the highest self-perceived average, 92.3 (sd = 11.6), while Factor 4, “Care plan”, had the lowest average, 86.3 (sd = 21.3). The quality of care transition was higher for patients living in municipalities belonging to health regions other than the hospital’s.

Conclusion:

The quality of care transition for children with chronic diseases, perceived by the children’s family members, in the discharge process from the hospital to home, was considered high. Living in a health region other than the hospital’s region was associated with better perception of the quality of care transition.

DESCRIPTORS
Child; Chronic Disease; Continuity of Patient Care; Nursing Care; Patient Discharge; Transitional Care

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br