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Primary Care Providers Involvement in Inpatient Pe ...
Primary Care Providers Involvement in Inpatient Pediatric Family Care Conferences
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Pdf Summary
This survey study examined primary care provider (PCP) involvement in inpatient pediatric family care conferences (FCCs) in southeast Michigan. As pediatric patients become more medically complex, FCCs are used more often to discuss treatment decisions and goals of care with families and care teams. While prior proposals suggest involving PCPs, their actual role in these meetings is not well studied.<br /><br />Researchers surveyed 41 PCPs and 52 inpatient providers from academic and private practices between May and September 2022. They asked about current FCC practices, barriers to attendance, and perceived value of PCP participation.<br /><br />Key findings:<br />- PCP participation was uncommon.<br />- Only 4% of PCPs who had never attended an FCC reported ever being invited.<br />- However, 85% of PCPs said they would be extremely or somewhat likely to attend if invited.<br />- Among inpatient providers, 86% felt it would be helpful or somewhat helpful for a PCP to attend.<br />- The most commonly perceived benefits were stronger relationships with the family and inpatient team, plus better understanding of the patient’s medical care.<br /><br />When PCPs did attend, they were usually present in person. In contrast, inpatient providers were more likely to report PCP attendance via audio-only or audio-visual remote participation. PCPs most often reported FCCs as multidisciplinary care meetings, while inpatient providers commonly described them as multidisciplinary care or discharge planning meetings.<br /><br />The authors concluded that PCPs are rarely included in inpatient pediatric FCCs despite a strong interest in participating and broad provider support for their involvement. They recommend addressing barriers such as lack of standardized invitations and scheduling difficulties. Increasing PCP attendance could help determine whether their involvement improves family satisfaction and patient care. The study was limited by its small geographic scope and focus on mostly academic providers.
Asset Subtitle
Emily L. Jacobson
Meta Tag
Author List
Alex Sliwicki, Emily L. Jacobson
Category
Research
Concept
Family Care Conference
Concept
PCP Participation
Concept
Primary Care Provider
Concept
Goals of Care
Concept
Invitation
Distinguished
Non-Finalist
Presenter Organization
University of Michigan
Presenting Author
Emily L. Jacobson
Track
Communication
Keywords
primary care provider
inpatient pediatric care
family care conferences
survey study
pediatric patients
care coordination
provider participation
multidisciplinary meetings
family satisfaction
southeast Michigan
Family Care Conference
PCP Participation
Primary Care Provider
Goals of Care
Invitation
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