PMID- 30554685
OWN - NLM
STAT- MEDLINE
DCOM- 20190128
LR  - 20190128
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 116
DP  - 2019 Jan
TI  - Parent perspectives on multidisciplinary pediatric hearing healthcare.
PG  - 141-146
LID - S0165-5876(18)30558-5 [pii]
LID - 10.1016/j.ijporl.2018.10.044 [doi]
AB  - INTRODUCTION: Family-centered healthcare demands that families provide input
      regarding the care of their children. Very little is known, however, about how
      families perceive their experience in different types of multidisciplinary team
      models, and specifically, in the multidisciplinary setting currently utilized in 
      many pediatric hearing clinics. METHODS: Quantitative and qualitative parent
      survey responses were collected and analyzed in a tertiary care pediatric medical
      center after a one-day multidisciplinary assessment clinical appointment.
      Questions pertained to information across five domains, including overall
      experience, diagnosis, treatment plan formulation, additional testing, and
      resources. Quantitative responses were analyzed descriptively while qualitative
      responses were evaluated using content analysis to derive themes. Quantitative
      and qualitative data were evaluated separately and then compared to delineate
      themes for strengths and weaknesses. RESULTS: Overall, high satisfaction was
      evident in both quantitative and qualitative responses. Results suggested that a 
      one-day multidisciplinary assessment appointment may contribute to parents
      feeling overwhelmed by information shared and not fully understanding which
      disciplines are providing care. Analysis revealed a specific area of weakness in 
      our particular setting was inadequate provision of information about functional
      hearing (e.g., listening socially and academically). Results contributed to a
      change from a multidisciplinary team model to an interdisciplinary care
      coordination approach to pediatric hearing healthcare. CONCLUSIONS: Understanding
      parent perspectives and expectations is the corner stone of family-centered care 
      and may ultimately influence a child's developmental outcome. A systematic way of
      evaluating parent perspectives on the clinical process can influence service
      delivery and help children with hearing loss meet their potential.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Findlen, Ursula M
AU  - Findlen UM
AD  - Nationwide Children's Hospital- Division of Clinical Therapies, 700 Children's
      Drive, Suite T3D, Columbus, OH, 43205, USA; The Ohio State Wexner Medical Center,
      College of Medicine, Department of Otolaryngology - Head & Neck Surgery, OSU Eye 
      and Ear Institute, 915 Olentangy River Road, Columbus, OH, 43212, USA. Electronic
      address: ursula.findlen@nationwidechildrens.org.
FAU - Malhotra, Prashant S
AU  - Malhotra PS
AD  - The Ohio State Wexner Medical Center, College of Medicine, Department of
      Otolaryngology - Head & Neck Surgery, OSU Eye and Ear Institute, 915 Olentangy
      River Road, Columbus, OH, 43212, USA; Nationwide Children's Hospital- Pediatric
      Otology & Hearing Program, 700 Children's Drive, Suite 2A, Columbus, OH, 43205,
      USA.
FAU - Adunka, Oliver F
AU  - Adunka OF
AD  - The Ohio State Wexner Medical Center, College of Medicine, Department of
      Otolaryngology - Head & Neck Surgery, OSU Eye and Ear Institute, 915 Olentangy
      River Road, Columbus, OH, 43212, USA; Nationwide Children's Hospital- Pediatric
      Otology & Hearing Program, 700 Children's Drive, Suite 2A, Columbus, OH, 43205,
      USA.
LA  - eng
PT  - Journal Article
DEP - 20181031
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Ambulatory Care Facilities
MH  - Child
MH  - Delivery of Health Care
MH  - Female
MH  - Hearing Loss/*therapy
MH  - Humans
MH  - Male
MH  - Parents/psychology
MH  - Patient Care Team/*statistics & numerical data
MH  - Patient Education as Topic
MH  - Patient Satisfaction/*statistics & numerical data
MH  - *Professional-Family Relations
MH  - Quality Improvement
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Interdisciplinary care
OT  - Pediatric hearing loss
EDAT- 2018/12/18 06:00
MHDA- 2019/01/29 06:00
CRDT- 2018/12/18 06:00
PHST- 2018/07/06 00:00 [received]
PHST- 2018/10/04 00:00 [revised]
PHST- 2018/10/28 00:00 [accepted]
PHST- 2018/12/18 06:00 [entrez]
PHST- 2018/12/18 06:00 [pubmed]
PHST- 2019/01/29 06:00 [medline]
AID - S0165-5876(18)30558-5 [pii]
AID - 10.1016/j.ijporl.2018.10.044 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2019 Jan;116:141-146. doi:
      10.1016/j.ijporl.2018.10.044. Epub 2018 Oct 31.