The Pediatric Aerodigestive Center as a Tertiary Care-Based Medical Home: A Proposed Model.

Autor: Galligan MM; Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: galliganm@email.chop.edu., Bamat TW; Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Hogan AK; Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Piccione J; Division of Pulmonary Medicine & Center for Pediatric Airway Disorders, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jazyk: angličtina
Zdroj: Current problems in pediatric and adolescent health care [Curr Probl Pediatr Adolesc Health Care] 2018 Apr; Vol. 48 (4), pp. 104-110. Date of Electronic Publication: 2018 Apr 12.
DOI: 10.1016/j.cppeds.2018.03.006
Abstrakt: Children with special healthcare needs have been identified nationally as a population whose health care is associated with unmet needs; increased morbidity; fragmentation of care and medical errors; caregiver dissatisfaction; and disproportionately high costs. A subset of these children are medically fragile, with medical complexity that requires a reliance on tertiary care-based services-including subspecialty appointments, surgical procedures, and care coordination resources. For medically complex patients affected by upper and lower respiratory tract and gastrointestinal disorders, multidisciplinary aerodigestive centers have emerged at tertiary care centers across the United States to facilitate coordinated, high-quality, and high value care. We propose that the aerodigestive center is an effective vehicle for a tertiary care-based medical home. Within this model, the integration of a general pediatrician will help promote holistic, patient-centered care, and the general pediatrician can serve to both support and provide continuity with the primary care medical home.
(Copyright © 2018 Mosby, Inc. All rights reserved.)
Databáze: MEDLINE
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