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Preferences Regarding Transfer of Patients With Congenital Heart Disease Who Attend Children’s Hospital
Preferences Regarding Transfer of Patients With Congenital Heart Disease Who Attend Children’s Hospital
- Source :
- Circulation Journal. 83:824-830
- Publication Year :
- 2019
- Publisher :
- Japanese Circulation Society, 2019.
-
Abstract
- Background The aim of this study was to determine preferences regarding transfer of patients with congenital heart disease (CHD) attending a children's hospital in Japan and related factors. Methods and Results: We conducted a self-administered questionnaire survey with CHD patients >15 years of age treated at the pediatric cardiology outpatient clinic of a children's hospital. Logistic regression analysis was used to identify factors related to patient preferences regarding the transfer. One hundred and eleven of the 122 patients given a questionnaire provided valid responses (valid response rate, 91.0%). Sixty-six subjects (64.9%) reported "not being told anything specific" by their physicians about the transfer from the children's hospital, and 72 (59.5%) stated that they "wished to continue attending the children's hospital". Visiting outpatient clinic with parents (OR, 11.00; 95% CI: 2.01-60.97), having low uncertainty about continuing to attend the children's hospital (OR, 0.95; 95% CI: 0.92-0.98), and having high uncertainty about leaving the current physician (OR, 1.04; 95% CI: 1.01-1.07) were significantly related to the patient's wish to continue to attend the children's hospital. Conclusions There is a need to improve patient education regarding the opportunities for transfer, and to develop a systematic transition program for children's hospitals and aligned specialized adult CHD centers.
- Subjects :
- Heart Defects, Congenital
Male
Patient Transfer
Transition to Adult Care
medicine.medical_specialty
Adolescent
Heart disease
030204 cardiovascular system & hematology
Logistic regression
03 medical and health sciences
0302 clinical medicine
Japan
Surveys and Questionnaires
Humans
Medicine
Outpatient clinic
030212 general & internal medicine
Response rate (survey)
business.industry
Questionnaire
Patient Preference
General Medicine
Hospitals, Pediatric
medicine.disease
Patient preference
Family medicine
Female
Cardiology and Cardiovascular Medicine
business
Pediatric cardiology
Patient education
Subjects
Details
- ISSN :
- 13474820 and 13469843
- Volume :
- 83
- Database :
- OpenAIRE
- Journal :
- Circulation Journal
- Accession number :
- edsair.doi.dedup.....6b4460acb6dc1ef66a941f9556664c50
- Full Text :
- https://doi.org/10.1253/circj.cj-18-1144