Qualitative feedback from caregivers in a multidisciplinary pediatric neuromuscular clinic

Author:

Hess Skylar M.1,Adu-Amankwah Dorothy1,Elaiho Cordelia R.2,Butler Liam R.1,Ranade Sheena C.3,Shah Brijen J.4,Shadman Kristin5,Fields Robert6,Lin Elaine P.1

Affiliation:

1. Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA

2. Medical College of Wisconsin, Milwaukee, WI, USA

3. Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

4. Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

5. Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

6. Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA

Abstract

OBJECTIVE: This study explored family satisfaction and perceived quality of care in a pediatric neuromuscular care clinic to assess the value of the multidisciplinary clinic (MDC) model in delivering coordinated care to children with neuromuscular disorders, such as cerebral palsy. METHODS: Caregivers of 22 patients were administered a qualitative survey assessing their perceptions of clinic efficiency, care coordination, and communication. Surveys were audio-recorded and transcribed. Thematic analysis was completed using both deductive and inductive methods. RESULTS: All caregivers reported that providers adequately communicated next steps in the patient’s care, and most reported high confidence in caring for the patient as a result of the clinic. Four major themes were identified from thematic analysis: Care Delivery, Communication, Care Quality, and Family-Centeredness. Caregivers emphasized that the MDC model promoted access to care, enhanced efficiency, promoted provider teamwork, and encouraged shared care planning. Caregivers also valued a physical environment that was suitable for patients with complex needs. CONCLUSION: This study demonstrated that caregivers believed the MDC model was both efficient and convenient for pediatric patients with neuromuscular disorders. This model has the potential to streamline medical care and can be applied more broadly to improve care coordination for children with medical complexity.

Publisher

IOS Press

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