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The Influence of Care Coordination on Patients With Special Health Care Needs in a Pediatric Residency Continuity Clinic

This study evaluates the influence of comprehensive health care coordination for children with special health care needs (CSHCN) in a resident continuity clinic. CSHCN patients were identified from 2 resident continuity panels. Patients were eligible with a score of 2 or greater on the CSHCN screene...

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Published in:Global pediatric health 2019, Vol.6, p.2333794X19848677
Main Authors: Moeenuddin, Zohra, Kim-Kupfer, Caroline, Owchar, Erica, Baker, Joshua, Duffield, Amy, Santoro, Thomas
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Kim-Kupfer, Caroline
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description This study evaluates the influence of comprehensive health care coordination for children with special health care needs (CSHCN) in a resident continuity clinic. CSHCN patients were identified from 2 resident continuity panels. Patients were eligible with a score of 2 or greater on the CSHCN screener. Interventions included extended appointment times, a binder, and direct phone access to the social worker who facilitated follow-up appointment scheduling. Data measured included completed and no-show visits for primary care and subspecialty appointments, hospitalization and emergency department visits, use of binders, and parent satisfaction surveys. Patients with a baseline CSHCN screener score ≥4 were 15.6 times more likely to keep their appointment after enrollment (P = .0035). Mental health no-show visits decreased significantly (P < .0001). The utilization of components of comprehensive team-based care coordination, even with limited resources, can improve the delivery of health care for children with complex medical needs and mental health disorders in a resident-based clinic.
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subjects Mental disorders
Mental health
Original
title The Influence of Care Coordination on Patients With Special Health Care Needs in a Pediatric Residency Continuity Clinic
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