TABLE 4

Associations Between Children’s Hospital Characteristics and Perceived Feasibility of Youth-Adult Transition in Hospital Care

PolicyTracking and MonitoringReadinessPlanningTransfer of CareTransfer Completion
β (95% CI)β (95% CI)β (95% CI)β (95% CI)β (95% CI)β (95% CI)
Children’s hospital administrative structure
 FreestandingReferenceReferenceReferenceReferenceReferenceReference
 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
 <25ReferenceReferenceReferenceReferenceReferenceReference
 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 onlyReferenceReferenceReferenceReferenceReferenceReference
 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.