Qualitative feedback from caregivers in a multidisciplinary pediatric neuromuscular clinic

J Pediatr Rehabil Med. 2024;17(2):237-246. doi: 10.3233/PRM-230011.

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.

Keywords: Complex care; children with medical complexity; family-centered care; multidisciplinary care; neuromuscular disorders.

MeSH terms

  • Adolescent
  • Adult
  • Caregivers* / psychology
  • Cerebral Palsy / rehabilitation
  • Cerebral Palsy / therapy
  • Child
  • Child, Preschool
  • Communication
  • Female
  • Humans
  • Male
  • Neuromuscular Diseases* / rehabilitation
  • Neuromuscular Diseases* / therapy
  • Patient Care Team*
  • Qualitative Research
  • Quality of Health Care*
  • Surveys and Questionnaires