Pediatric hospitalists and primary care providers

A communication needs assessment

Gregory Harlan, Rajendu Srivastava, Lanny Harrison, Glen McBride, Christopher G Maloney

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background/objective: Existing research on hospitalist-primary care provider (PCP) communication focuses mainly on adult hospitalist models with little known about the quality of current pediatric hospitalist-PCP communication. Our objective was to perform a needs assessment by exploring important issues around communication between pediatric hospitalists and PCPs. Methods: Six previously identified issues around hospitalist-PCP communication from the adult hospitalist literature were abstracted and incorporated into an open-ended and closed-ended questionnaire. The questionnaire was pretested, revised, and administered by phone to 10 pediatric hospitalists and 12 pediatric PCPs residing in our 5-state catchment area. Interviews were transcribed and openly coded, and themes compared using qualitative methods. Results: The 6 identified issues were: quality of communication, barriers to communication, methods of information sharing, key data element requirements, critical timing, and perceived benefits. Hospitalists and PCPs rated overall quality of communication from "poor" to "very good." Both groups acknowledge that significant barriers to optimal communication currently exist, yet the barriers differ for each group. Hospitalists and PCPs agree on what information is important to transmit (diagnoses, medications, follow-up needs, and pending laboratory test results) and critical times for communication during the hospitalization (at discharge, admission, and during major clinical changes). Both groups also agree that optimal communication could improve many aspects of patient care. Conclusions: Identifying and addressing barriers to these 6 issues may help both hospitalists and PCPs implement targeted interventions aimed at improving communication. Future studies will need to demonstrate the link between improved hospitalist-PCP communication and improved patient care and outcomes.

Original languageEnglish (US)
Pages (from-to)187-193
Number of pages7
JournalJournal of Hospital Medicine
Volume4
Issue number3
DOIs
StatePublished - Jul 6 2009

Fingerprint

Hospitalists
Needs Assessment
Primary Health Care
Communication
Pediatrics
Patient Care
Communication Barriers
Information Dissemination
Hospitalization

Keywords

  • Communication
  • Hospitalists
  • Needs assessment
  • Primary care providers

ASJC Scopus subject areas

  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

Cite this

Pediatric hospitalists and primary care providers : A communication needs assessment. / Harlan, Gregory; Srivastava, Rajendu; Harrison, Lanny; McBride, Glen; Maloney, Christopher G.

In: Journal of Hospital Medicine, Vol. 4, No. 3, 06.07.2009, p. 187-193.

Research output: Contribution to journalArticle

Harlan, Gregory ; Srivastava, Rajendu ; Harrison, Lanny ; McBride, Glen ; Maloney, Christopher G. / Pediatric hospitalists and primary care providers : A communication needs assessment. In: Journal of Hospital Medicine. 2009 ; Vol. 4, No. 3. pp. 187-193.
@article{05a6b826cf8044b98df01da13bf01de7,
title = "Pediatric hospitalists and primary care providers: A communication needs assessment",
abstract = "Background/objective: Existing research on hospitalist-primary care provider (PCP) communication focuses mainly on adult hospitalist models with little known about the quality of current pediatric hospitalist-PCP communication. Our objective was to perform a needs assessment by exploring important issues around communication between pediatric hospitalists and PCPs. Methods: Six previously identified issues around hospitalist-PCP communication from the adult hospitalist literature were abstracted and incorporated into an open-ended and closed-ended questionnaire. The questionnaire was pretested, revised, and administered by phone to 10 pediatric hospitalists and 12 pediatric PCPs residing in our 5-state catchment area. Interviews were transcribed and openly coded, and themes compared using qualitative methods. Results: The 6 identified issues were: quality of communication, barriers to communication, methods of information sharing, key data element requirements, critical timing, and perceived benefits. Hospitalists and PCPs rated overall quality of communication from {"}poor{"} to {"}very good.{"} Both groups acknowledge that significant barriers to optimal communication currently exist, yet the barriers differ for each group. Hospitalists and PCPs agree on what information is important to transmit (diagnoses, medications, follow-up needs, and pending laboratory test results) and critical times for communication during the hospitalization (at discharge, admission, and during major clinical changes). Both groups also agree that optimal communication could improve many aspects of patient care. Conclusions: Identifying and addressing barriers to these 6 issues may help both hospitalists and PCPs implement targeted interventions aimed at improving communication. Future studies will need to demonstrate the link between improved hospitalist-PCP communication and improved patient care and outcomes.",
keywords = "Communication, Hospitalists, Needs assessment, Primary care providers",
author = "Gregory Harlan and Rajendu Srivastava and Lanny Harrison and Glen McBride and Maloney, {Christopher G}",
year = "2009",
month = "7",
day = "6",
doi = "10.1002/jhm.456",
language = "English (US)",
volume = "4",
pages = "187--193",
journal = "Journal of hospital medicine (Online)",
issn = "1553-5606",
publisher = "John Wiley and Sons Inc.",
number = "3",

}

TY - JOUR

T1 - Pediatric hospitalists and primary care providers

T2 - A communication needs assessment

AU - Harlan, Gregory

AU - Srivastava, Rajendu

AU - Harrison, Lanny

AU - McBride, Glen

AU - Maloney, Christopher G

PY - 2009/7/6

Y1 - 2009/7/6

N2 - Background/objective: Existing research on hospitalist-primary care provider (PCP) communication focuses mainly on adult hospitalist models with little known about the quality of current pediatric hospitalist-PCP communication. Our objective was to perform a needs assessment by exploring important issues around communication between pediatric hospitalists and PCPs. Methods: Six previously identified issues around hospitalist-PCP communication from the adult hospitalist literature were abstracted and incorporated into an open-ended and closed-ended questionnaire. The questionnaire was pretested, revised, and administered by phone to 10 pediatric hospitalists and 12 pediatric PCPs residing in our 5-state catchment area. Interviews were transcribed and openly coded, and themes compared using qualitative methods. Results: The 6 identified issues were: quality of communication, barriers to communication, methods of information sharing, key data element requirements, critical timing, and perceived benefits. Hospitalists and PCPs rated overall quality of communication from "poor" to "very good." Both groups acknowledge that significant barriers to optimal communication currently exist, yet the barriers differ for each group. Hospitalists and PCPs agree on what information is important to transmit (diagnoses, medications, follow-up needs, and pending laboratory test results) and critical times for communication during the hospitalization (at discharge, admission, and during major clinical changes). Both groups also agree that optimal communication could improve many aspects of patient care. Conclusions: Identifying and addressing barriers to these 6 issues may help both hospitalists and PCPs implement targeted interventions aimed at improving communication. Future studies will need to demonstrate the link between improved hospitalist-PCP communication and improved patient care and outcomes.

AB - Background/objective: Existing research on hospitalist-primary care provider (PCP) communication focuses mainly on adult hospitalist models with little known about the quality of current pediatric hospitalist-PCP communication. Our objective was to perform a needs assessment by exploring important issues around communication between pediatric hospitalists and PCPs. Methods: Six previously identified issues around hospitalist-PCP communication from the adult hospitalist literature were abstracted and incorporated into an open-ended and closed-ended questionnaire. The questionnaire was pretested, revised, and administered by phone to 10 pediatric hospitalists and 12 pediatric PCPs residing in our 5-state catchment area. Interviews were transcribed and openly coded, and themes compared using qualitative methods. Results: The 6 identified issues were: quality of communication, barriers to communication, methods of information sharing, key data element requirements, critical timing, and perceived benefits. Hospitalists and PCPs rated overall quality of communication from "poor" to "very good." Both groups acknowledge that significant barriers to optimal communication currently exist, yet the barriers differ for each group. Hospitalists and PCPs agree on what information is important to transmit (diagnoses, medications, follow-up needs, and pending laboratory test results) and critical times for communication during the hospitalization (at discharge, admission, and during major clinical changes). Both groups also agree that optimal communication could improve many aspects of patient care. Conclusions: Identifying and addressing barriers to these 6 issues may help both hospitalists and PCPs implement targeted interventions aimed at improving communication. Future studies will need to demonstrate the link between improved hospitalist-PCP communication and improved patient care and outcomes.

KW - Communication

KW - Hospitalists

KW - Needs assessment

KW - Primary care providers

UR - http://www.scopus.com/inward/record.url?scp=67649364548&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67649364548&partnerID=8YFLogxK

U2 - 10.1002/jhm.456

DO - 10.1002/jhm.456

M3 - Article

VL - 4

SP - 187

EP - 193

JO - Journal of hospital medicine (Online)

JF - Journal of hospital medicine (Online)

SN - 1553-5606

IS - 3

ER -