Navigation Links
Novel 'medical home' program for pediatric patients, families cuts ER visits in half
Date:3/16/2010

For parents of children with multiple medical problems, keeping up with countless doctor's appointments, ongoing tests and a variety of medications can be overwhelming, especially for those in challenging socioeconomic situations.

As a result, families often wind up using the emergency room, the country's most expensive form of care delivery, to get help for their kids.

But a growing concept in health care reform called the "medical home" offers parents a way to simplify, organize and coordinate the complexities of their medically fragile child's health care needs. The medical home is not a location but an approach to care coordination designed to provide a constant trusted source of care, typically by a general pediatrician.

In the first quantitative study to look at the benefits of utilizing the medical home concept in a resident-education outpatient clinic at a specialized children's hospital, UCLA researchers found that participation in the program at UCLA significantly reduced families' use of the emergency room. The findings appear in the March 11 online edition of the peer-reviewed Journal of Pediatrics.

The medical home program at UCLA follows guidelines established by the American Academy of Pediatrics and includes four basic components: a formal 60-minute intake appointment, follow-up appointments of 40 minutes (twice the length of standard appointments), access to a bilingual family liaison to help families navigate the medical system, and a family binder that keeps all a child's medical information in one place.

The UCLA study, in addition to examining the program's effect on emergency room visits, focused on the need to train future pediatricians those who are now medical residents and students in the principles of the medical home and found this could also be done successfully.

"While the medical home concept has been shown to be effective in community pediatric practices, it has not been a standard part of the educational curriculum for our country's future pediatricians," said lead study author Dr. Thomas Klitzner, chief of the UCLA Division of Pediatric Cardiology and executive director of the medical home project at Mattel Children's Hospital UCLA. "We set up a pilot program within our outpatient pediatric resident teaching clinic to develop a working model while building the required curriculum. We were pleasantly surprised to learn that we could run an effective program in a teaching clinic and create medical efficiencies that decreased the overall cost of medical care by reducing emergency department visits."

Study data was collected between 2004 and 2007 from the Pediatric Medical Home Project at UCLA for Children With Special Healthcare Needs, which was founded at Mattel Children's Hospital UCLA in 2003. Researchers examined emergency room, urgent care and inpatient encounters for 30 medical home patients for one year prior to enrollment in the program and for one year after enrollment. They found that among program participants, emergency room visits decreased by 55 percent.

"This positive effect was expected, because the medical home model stresses the importance of continuous, accessible outpatient care," said Klitzner, who holds UCLA's Jack H. Skirball Chair in Pediatrics. "The parents told us that they felt empowered by the pediatric residents, supervising faculty and medical home staff to use scheduled outpatient primary care and specialty visits rather than using the emergency department to get care."

Despite the decrease in emergency room visits, the study data showed no significant change in urgent care visits or hospital admissions, suggesting that the patients' overall burden of illness was not decreased during the study period. There was a trend toward greater use of scheduled outpatient appointments, which may have resulted from the program's emphasis on coordinating all of the care required by patients.

Plans for future research include studying parent and patient satisfaction and developing a model for delivering care according to medical home principals to a larger number of children with special health care needs.


'/>"/>

Contact: Amy Albin
aalbin@mednet.ucla.edu
310-794-8672
University of California - Los Angeles
Source:Eurekalert  

Related medicine news :

1. Novel stroke treatment passes safety stage of UCI-led clinical trial
2. Reovirus may be a novel approach to prostate cancer treatment
3. Novel program translates behavioral and social science research into treatments to reduce obesity
4. A novel in vitro model for light-induced wound healing
5. NIH grants to Childrens Hospital will advance novel stem cell treatments for blood disorders
6. New Study Demonstrates Novel Use of Metabolic Imaging to Locate Sperm in Infertile Men -- Non-Invasive Imaging Procedure May Replace Invasive Techniques such as Testicula
7. Novelty lures rats from cocaine-paired settings, hinting at new treatments for recovering addicts
8. A novel computational model -- how Parkinsons medications affect learning and attention
9. TD2 and Critical Outcome Technologies Inc. develop novel anti-cancer drug
10. New human reproductive hormone could lead to novel contraceptives
11. Researchers discover novel method for detecting MIRCERA
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Novel 'medical home' program for pediatric patients, families cuts ER visits in half
(Date:5/24/2017)... ... May 24, 2017 , ... ... (PVDF) based sleep diagnostics sensors, announced today it had completed the first phase ... a mix of domestic and rest of world (ROW) authorized dealers specializing in ...
(Date:5/23/2017)... Pa. (PRWEB) , ... May 23, 2017 , ... ... plans to open The Alexis Joy D’Achille Center for Women’s Behavioral Health at ... care available in western Pennsylvania for women suffering from pregnancy-related depression. Construction of ...
(Date:5/23/2017)... , ... May 23, 2017 , ... New England Journal ... Crisis Worthy of a Policy Response”, -The Rory Staunton Foundation Calls on Health & ... for the Prevention of Sepsis ( http://www.rorystauntonfoundation.org ) today reported on a new study ...
(Date:5/23/2017)... ... May 23, 2017 , ... London, May 23, 2017: Walter Schindler, the Founder ... as a Guest Speaker and Contributor to a weeklong series of classes, meetings, field ... , Walter Schindler and SAIL Capital have received an ...
(Date:5/23/2017)... ... May 23, 2017 , ... Drs. Allen ... peri-implantitis in Las Vegas, NV, and the importance of treating it ... consultation and leading care for peri-implantitis, with or without a referral. As experienced ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... 2017 Global Health Intelligence (GHI), the ... , published its 2017 ranking of the Best-Equipped ... extensive data analysis from GHI,s hospitals database for Latin ... the region. The GHI database covers 86% of the hospitals ... 130 data points for each institution in key areas such ...
(Date:5/9/2017)... 2017  Demonstrating its commitment to representing research- ... the Pharmaceutical Research and Manufacturers of America (PhRMA) ... will now have to meet new research and ... to join PhRMA. "By putting in ... a clear message that being a member of ...
(Date:5/6/2017)... --  Provista , a proven leader in the supply chain ... Jim Cunniff as the company,s new president and ... to Provista, including most recently serving as the president and ... . He assumed his new role with Provista on May ... Provista," says Jody Hatcher , president, Sourcing and Collaboration ...
Breaking Medicine Technology: