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

• Published in: Revista da Escola de Enfermagem da U S P Vol. 56; p. e20210535
• Main Authors: Cechinel-Peiter, Caroline, Lanzoni, Gabriela Marcellino de Melo, de Mello, Ana Lúcia Schaefer Ferreira, Acosta, Aline Marques, Pina, Juliana Coelho, de Andrade, Selma Regina, Oelke, Nelly Donszelmann, Dos Santos, José Luís Guedes
• Format: Journal Article
• Language: English
• Published: Brazil Universidade de São Paulo, Escola de Enfermagem 2022; SciELO
• Subjects: Child; Chronic Disease; Continuity of Patient Care; Cross-Sectional Studies; Humans; NURSING; Nursing Care; Patient Discharge; Patient Transfer; Transitional Care; Transitional Care; Criança; Doença Crônica; Continuidade da Assistência ao Paciente; Alta del Paciente; Continuity of Patient Care; Patient Discharge; Enfermedad Crónica; Alta do Paciente; Continuidad de la Atención al Paciente; Nursing Care; Cuidado de Transición; Atención de Enfermería; Cuidados de Enfermagem; Cuidado Transicional; Niño; Child; Chronic Disease
• ISSN: 0080-6234; 1980-220X; 1980-220X
• DOI: 10.1590/1980-220X-REEUSP-2021-0535

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