Open AccessJournal Article
Efficiency and Cost of a Hospital-Based Medical Home: Children with Special Healthcare Needs
TLDR
Each of the cost-effectiveness measures were found to be significantly lower post enrollment in the Hospital-Based Medical Home Model.Abstract:
The current study examined two years of pre-post hospital utilization data (the number of emergency room visits, number of unanticipated hospitalizations, and length of stay (LOS)) among forty-nine medically complex children to determine the efficiency and cost effectiveness of a comprehensive Hospital-Based Medical Home Model. Friedman nonparametric analysis was used to examine the pre-post differences for the non-normal distribution. Each of the cost-effectiveness measures (number of emergency room visits, number of unanticipated hospitalizations, and LOS) were found to be significantly lower post enrollment in the Hospital-Based Medical Home Model. Florida Public Health Review, 2009; 6, 85-92. Int tro odread more
Citations
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Hospital-based comprehensive care programs for children with special health care needs: a systematic review.
TL;DR: Although positive, the evidence supporting comprehensive hospital-based programs for children with special health care needs is restricted primarily to nonexperimental studies of children with categorical diseases and is limited by inadequate outcome measures.
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Being in control and striving for normalisation: A Norwegian pilot study on parents' perceptions of hospital-at-home
TL;DR: The findings indicate that hospital-at-home for children is a good solution if the parents are well prepared and feel in control, and Norwegian policymakers should initiate more pilot testing of hospital- at- home for children.
References
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Journal ArticleDOI
Effects of providing comprehensive ambulatory services to children with chronic conditions.
TL;DR: An investment of funds by a regional insurance company was associated with reduced costs, admissions, and lengths of stay for children with chronic conditions, and resulted in significant savings for the company.
Journal ArticleDOI
Utilization and costs for children who have special health care needs and are enrolled in a hospital-based comprehensive primary care clinic.
Steve Berman,Michael Rannie,Laurie A. Moore,Ellen R. Elias,Leonard J. Dryer,M. Douglas Jones +5 more
TL;DR: This study suggests that children with multisystem disorders are medically fragile and require frequent hospitalizations and ED visits even with improved primary care.
Comprehensive Follow-up Care and Life-Threatening Illnesses Among High-Risk Infants
R. Sue Broyles,Jon E. Tyson,Elizabeth T. Heyne,Roy J. Heyne,Jackie F. Hickman,Michael Swint,Sally S. Adams,Linda A. West,Patricia J. Hicks,Chul Ahn +9 more
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The potential for errors in children with special health care needs.
Alfred Sacchetti,Christina Sacchetti,Carol Carraccio,Carol Carraccio,Mike Gerardi,Mike Gerardi +5 more
TL;DR: An emergency information form (EIF) that contains patient-specific information on essential diagnostic and therapeutic interventions may provide a ready personal reference for the emergent care of children with special health care needs.
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Community physician's role in case management of children with chronic illnesses.
Gregory S. Liptak,Gail M. Revell +1 more
TL;DR: If primary care physicians are to be effective case managers, alterations in the current system of care will be required including continuing education related to chronic illness, information about community resources, reimbursement for the time required to perform case management, and better communication between physician and parents.