Case studies are an important venue for reporting clinical processes relevant to clinical care, research agendas, and interprofessional collaboration. Clinical Practice in Pediatric Psychology (CPPP) is actively soliciting case studies to further the mission of promoting evidence-based practice, highlighting important areas for further empirical study related to biopsychosocial phenomena and advocating for the value and relevance of pediatric psychology in the current health care climate. This article highlights desired topic areas for case studies for CPPP, reviews methodological considerations, and provides recommendations for case study reporting. In addition, ethical considerations related to case study report methodology are reviewed. Our hope is that this article will promote submission and acceptance of case studies to Clinical Practice in Pediatric Psychology.
The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation-liaison (C-L) service. A retrospective study was conducted using inpatient C-L service data on 1,246 consecutive referrals. For this patient population, the strongest predictor of level of non-reimbursable clinical activity was illness chronicity and the number of contacts with C-L service clinicians during their hospital stay. Patients with acute life-threatening illnesses required the highest mean amount of non-reimbursable service activity. On average, 28 % of total clinician time in completing a hospital consultation was spent in non-reimbursable activity. Effective C-L services require a proportion of time spent in non-reimbursable clinical activity, such as liaison and coordinating care with other providers. Identifying referral and systemic factors contributing to non-reimbursable activity can provide insight into budgeting/negotiating for institutional support for essential clinical and non-clinical functions in providing competent quality patient care.
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