Children With Medical Complexity: The 10-Year Experience of a Single Center.

Autor:	Murphy NA; Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah; nancy.murphy@hsc.utah.edu., Alvey J; Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah., Valentine KJ; Intermountain Primary Children's Hospital, Intermountain Healthcare, Salt Lake City, Utah; and.; Healthcare Delivery Institute, Intermountain Healthcare, Murray, Utah., Mann K; Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah., Wilkes J; Intermountain Primary Children's Hospital, Intermountain Healthcare, Salt Lake City, Utah; and., Clark EB; Department of Pediatrics, School of Medicine, University of Utah, Salt Lake City, Utah.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2020 Aug; Vol. 10 (8), pp. 702-708.
DOI:	10.1542/hpeds.2020-0085
Abstrakt:	Children with medical complexity (CMC) have chronic, multisystem health conditions, substantial health care needs, major functional limitations, and high resource use. They represent <1% of US children yet account for more than one-third of total pediatric health care costs. Health care systems designed for typical children do not meet the unique needs of CMC. In this special article, we describe the experience of our Comprehensive Care Program for CMC in a pediatric tertiary care center, from its launch in 2007 to its present model. We review the literature, describe our collective lessons learned, and offer suggestions for future directions. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2020 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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