A Posthospitalization Home Visit Curriculum for Pediatric Patients

Introduction Home visits allow physicians to develop a deeper understanding of patients' homes and community, enhance physician-patient connectedness, and improve physician treatment plans for patients. We describe a unique pediatric posthospitalization home visit curriculum to train residents...

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Autores principales:	Eric Balighian, Michael Burke, Amy Davis, Jeffrey Chinsky, Megan M. Tschudy, Jamie Perin, Janet R. Serwint
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Home Visits House Calls Discharge Plans Postacute Care Subacute Care Posthospitalization Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/2d0707583bf844b59d5013156634e28f
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spelling	oai:doaj.org-article:2d0707583bf844b59d5013156634e28f2021-11-19T13:46:29ZA Posthospitalization Home Visit Curriculum for Pediatric Patients10.15766/mep_2374-8265.109392374-8265https://doaj.org/article/2d0707583bf844b59d5013156634e28f2020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10939https://doaj.org/toc/2374-8265Introduction Home visits allow physicians to develop a deeper understanding of patients' homes and community, enhance physician-patient connectedness, and improve physician treatment plans for patients. We describe a unique pediatric posthospitalization home visit curriculum to train residents about the social determinants of health (SDH). Methods Residents participated in an interactive presentation that discussed the logistics of making home visits and a background detailing SDH. During subsequent home visits, residents got to know the family and neighborhood on a deeper level. After each home visit, residents participated in a reflection session and considered the impact of SDH. Surveys were completed to capture data about residents' knowledge and attitudes regarding SDH and connectedness with the families. Families' perspectives were captured by phone surveys. Results Of residents, 23 of 31 (74%) were able to make at least one home visit. After participating in the curriculum, residents reported increased confidence in understanding SDH (p = .048) and increased consideration of SDH when developing treatment plans (p = .007). All residents who made home visits predicted they would feel more confident in understanding how SDH impact patients they will care for in the future. Ninety percent of residents felt they made a stronger connection with the family. Eight families were surveyed, and all stated that the home visit had positive effects. Discussion This curriculum teaches SDH while improving connections between physicians and patients.Eric BalighianMichael BurkeAmy DavisJeffrey ChinskyMegan M. TschudyJamie PerinJanet R. SerwintAssociation of American Medical CollegesarticleHome VisitsHouse CallsDischarge PlansPostacute CareSubacute CarePosthospitalizationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Home Visits House Calls Discharge Plans Postacute Care Subacute Care Posthospitalization Medicine (General) R5-920 Education L
spellingShingle	Home Visits House Calls Discharge Plans Postacute Care Subacute Care Posthospitalization Medicine (General) R5-920 Education L Eric Balighian Michael Burke Amy Davis Jeffrey Chinsky Megan M. Tschudy Jamie Perin Janet R. Serwint A Posthospitalization Home Visit Curriculum for Pediatric Patients
description	Introduction Home visits allow physicians to develop a deeper understanding of patients' homes and community, enhance physician-patient connectedness, and improve physician treatment plans for patients. We describe a unique pediatric posthospitalization home visit curriculum to train residents about the social determinants of health (SDH). Methods Residents participated in an interactive presentation that discussed the logistics of making home visits and a background detailing SDH. During subsequent home visits, residents got to know the family and neighborhood on a deeper level. After each home visit, residents participated in a reflection session and considered the impact of SDH. Surveys were completed to capture data about residents' knowledge and attitudes regarding SDH and connectedness with the families. Families' perspectives were captured by phone surveys. Results Of residents, 23 of 31 (74%) were able to make at least one home visit. After participating in the curriculum, residents reported increased confidence in understanding SDH (p = .048) and increased consideration of SDH when developing treatment plans (p = .007). All residents who made home visits predicted they would feel more confident in understanding how SDH impact patients they will care for in the future. Ninety percent of residents felt they made a stronger connection with the family. Eight families were surveyed, and all stated that the home visit had positive effects. Discussion This curriculum teaches SDH while improving connections between physicians and patients.
format	article
author	Eric Balighian Michael Burke Amy Davis Jeffrey Chinsky Megan M. Tschudy Jamie Perin Janet R. Serwint
author_facet	Eric Balighian Michael Burke Amy Davis Jeffrey Chinsky Megan M. Tschudy Jamie Perin Janet R. Serwint
author_sort	Eric Balighian
title	A Posthospitalization Home Visit Curriculum for Pediatric Patients
title_short	A Posthospitalization Home Visit Curriculum for Pediatric Patients
title_full	A Posthospitalization Home Visit Curriculum for Pediatric Patients
title_fullStr	A Posthospitalization Home Visit Curriculum for Pediatric Patients
title_full_unstemmed	A Posthospitalization Home Visit Curriculum for Pediatric Patients
title_sort	posthospitalization home visit curriculum for pediatric patients
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/2d0707583bf844b59d5013156634e28f
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A Posthospitalization Home Visit Curriculum for Pediatric Patients

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