TABLE 4.
Associations Between Children’s Hospital Characteristics and Perceived Feasibility of Youth-Adult Transition in Hospital Care
| Policy | Tracking and Monitoring | Readiness | Planning | Transfer of Care | Transfer Completion | |
|---|---|---|---|---|---|---|
| β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | |
| Children’s hospital administrative structure | ||||||
| Freestanding | Reference | Reference | Reference | Reference | Reference | Reference |
| Hospital within hospital (separate building) | −.46 (−0.95 to 0.03) | −.43 (−0.87 to 0.02) | .05 (−0.35 to 0.45) | −.47 (−0.58 to 0.25) | −.36 to (−0.83 to 0.10) | .36 (−0.22 to 0.94) |
| Hospital within hospital (same building) | −.46 (−0.88 to −0.05)* | −.16 (−0.54 to 0.22) | −.10 (−0.44 to 0.23) | .03 (−0.32 to 0.37) | −.18 (−0.56 to 0.20) | .53 (0.05 to 1.01)* |
| Medical center | ||||||
| Community (versus university based) | −.46 (−0.91 to −0.01)* | .09 (−0.32 to 0.50) | −.19 (−0.55 to 0.16) | −.10 (−0.46 to 0.27) | .13 (−0.28 to 0.55) | −.29 (−0.81 to 0.24) |
| Estimated weekly discharges | ||||||
| <25 | Reference | Reference | Reference | Reference | Reference | Reference |
| 25–50 | .34 (−0.06 to 0.85) | .01 (−0.41 to 0.44) | −.07 (−0.45 to 0.32) | .11 (−0.29 to 0.51) | .23 (−0.21 to 0.66) | .15 (−0.40 to 0.70) |
| 51 or more | .91 (0.43 to 1.39)* | .46 (0.01 to 0.91)* | −.02 (−0.42 to 0.39) | .11 (−0.32 to 0.53) | .48 (0.03 to 0.94)* | .13 (−0.44 to 0.71) |
| Inpatient provider scope | ||||||
| Inpatient only | Reference | Reference | Reference | Reference | Reference | Reference |
| Mixed (inpatient and outpatient) only | −.05 (−1.08 to 0.98) | −.33 (−1.26 to 0.61) | −.48 (−1.29 to 0.33) | −.45 (−1.28 to 0.38) | −.61 (−1.52 to 0.31) | −.68 (−1.85 to 0.49) |
| Combination inpatient and mixed | −.26 (−0.70 to 0.17) | −.10 (−0.49 to 0.29) | −.13 (−0.47 to 0.21) | −.31 (−0.66 to 0.03) | −.17 (−0.55 to 0.22) | −.38 (−0.88 to 0.11) |
| Specific adult-oriented hospital to receive patients | ||||||
| No | −.10 (−0.49 to 0.29) | .10 (−0.24 to 0.44) | −.13 (−0.43 to 0.16) | −.29 (−0.59 to 0.00) | −.28 (−0.62 to 0.05) | −.44 (−0.86 to −0.03)* |
| Ambulatory transition process | ||||||
| No | −.32 (−0.72 to 0.08) | −.13 (−0.50 to 0.23) | −.19 (−0.51 to 0.13) | −.21 (−0.55 to 0.12) | −.23 (−0.61 to 0.16) | −.03 (−0.51 to 0.46) |
β corresponds to the average unit difference in feasibility rating between the tested category and the reference. For example, the average feasibility for policy transition activities was 0.46 lower for respondents from a hospital within hospital (same building) than for those from a freestanding children’s hospitals.
*
P < .05.