Figure 2.

Example multilevel intervention model for home-based care for children with serious illness and their families. This intervention model is derived from the proposed ecological framework (Figure 1). As can be seen, interventions should target all levels of the system of home-based care, including improving the support and strengthening the capacity of family caregivers [31,145]; targeting the capacity of health systems to support children and families in the home through increasing education, training, recruitment, and retention of community-based providers who care for children with serious illness; challenging the existing systems of regulation and financing of care (e.g., loosening or eliminating hospice prognostic requirements) [7,10]; improving care collaboration and coordination between community- and hospital-based institutions [7,28,67,146]; targeting care coordination to bridge interventions across levels. Desired outcomes, specific measures, and analytic strategies should be carefully matched to individual interventions, as well as across levels of intervention [142,143]. Created in Lucidchart (www.lucidchart.com accessed on 21 July 2022).