Care coordination for children with complex care needs significantly reduces hospital utilization

Peter, Sue; Chaney, Gervase; Zappia, Theresa; Veldhuisen, Corinne Van; Pereira, Sandra Martins; Santamaria, Nick

doi:10.1111/j.1744-6155.2011.00303.x

Cited by 44 publications

(40 citation statements)

References 31 publications

(50 reference statements)

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“…Kuhlthau and colleagues (Kuhlthau et al, 2005) found finance-related problems were reduced when CSHCN received coordinated and ongoing comprehensive care in a medical home, had adequate private and/or public insurance, and had community-based service systems that were organized and easy to use. Many children with disability benefit from improved care coordination, which is also associated with reduced overall cost of care (Casey et al, 2011; Gordon et al, 2007; Liptak, Burns, Davidson, & McAnarney, 1998; Peter et al, 2011). …”

Section: Discussionmentioning

confidence: 99%

Financial and psychological stressors associated with caring for children with disability.

Goudie¹,

Narcisse²,

Hall³

et al. 2014

Families, Systems, & Health

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Introduction The magnitude of stress and associated health consequences experienced by caregivers compromises their ability to effectively provide care to children, especially children with disability. Methods We used latent class analysis of data from the 2010 Ohio Family Health Survey and identified three distinct classes of caregivers based on patterns of responses to 15 financial and psychological stresses they experienced. Results Compared to children residing in households where caregivers experienced very little or no stress, children with disability were twice as likely to reside with caregivers with high levels of financial stress and almost three and half times as likely to reside with caregivers with high levels of financial stress and very high levels of psychological stress than typically developing children. Discussion Reducing caregiver stress is a critical step to ensuring the best health outcomes possible for children with disability. We identify the heterogeneity that is present in the population of caregivers by virtue of patterns of responses to various financial and psychological stressors. Children with disability are more likely to live in households where a greater number of stressors affect caregivers. Different confounders are also associated with the latent classes of stress we identify. This is an important implication when determining the right interventions to target to the right subpopulations.

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Section: Discussionmentioning

confidence: 99%

Financial and psychological stressors associated with caring for children with disability.

Goudie¹,

Narcisse²,

Hall³

et al. 2014

Families, Systems, & Health

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“…For many of these children, their reliance on technology demands a tailor-made service to ensure that care within the home is viable and sustainable [4]. Progress towards achievement of this goal has been slow [3] despite growing evidence that homecare: provides a means of mitigating the barriers and isolation children and their families experience during the transition from hospital to home, can significantly reduce hospital utilisation, and reduces the cost of care for children with complex care needs [56789]. …”

Section: Introductionmentioning

confidence: 99%

The Role of Care Coordinator for Children with Complex Care Needs: A Systematic Review

Hillis¹,

Brenner²,

Larkin

et al. 2016

International Journal of Integrated Care

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Introduction:This systematic review seeks to identify the intended components of the role of care coordinator for children with complex care needs and the factors that determine its composition in practice.Theory and methods:The initial search identified 1,157 articles, of which 37 met the inclusion criteria. They were quality assessed using the SIGN hierarchy of evidence structure.Results:Core components of the role include: coordination of care needs, planning and assessment, specialist support, emotional support, administration and logistics and continuing professional development. Influencing factors on the role include the external environment (political and socio-economic), the internal environment (organisational structure and funding protocols), the skills, qualifications and experience of the coordinator, the family circumstances and the nature of the interaction between the care coordinator and the family.Discussion:The lack of consistent terminology creates challenges and there is a need for greater consensus on this issue. Organisations and healthcare professionals need to recognise the extent to which contextual factors influence the role of a care coordinator in practice and plan accordingly. Despite evidence that suggests that the role is pivotal in ensuring that care needs are sustained, there remains great variability in the understanding of the role of a care coordinator for this population.Conclusions:As the provision of care increasingly moves closer to home there is a need for greater understanding of the nature and composition of the interaction between care coordinators and families to determine the extent to which appropriate services are being provided. Further work in this area should take into consideration any potential variance in service provision, for example any potential inequity arising due to geographic location. It is also imperative, where appropriate, to seek the views of children with complex care needs and their siblings about their experiences.

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“…The prevalence of children with complex medical conditions has increased recently by four-fold (Raphael, Mei, Brousseau, & Giordano, 2011). Complex medical conditions constitute an increasing proportion of inpatient pediatric care and resource use (Peter et al, 2011;Simon et al, 2010). Engaging discharge planning resources early in the hospital stay maximize the time available to design and implement a complex discharge plan.…”

Section: Discussionmentioning

confidence: 99%

Identifying Hospitalized Pediatric Patients for Early Discharge Planning: A Feasibility Study

Holland

Conlon

Rohlik

et al. 2015

Journal of Pediatric Nursing

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Care coordination for children with complex care needs significantly reduces hospital utilization

Abstract: Hospital utilization is significantly reduced for children with complex care needs through 24/7 care coordination.

Cited by 44 publications

References 31 publications

Financial and psychological stressors associated with caring for children with disability.

Financial and psychological stressors associated with caring for children with disability.

The Role of Care Coordinator for Children with Complex Care Needs: A Systematic Review

Identifying Hospitalized Pediatric Patients for Early Discharge Planning: A Feasibility Study

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