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:3/23/2017)... New Jersey (PRWEB) , ... March 23, 2017 ... ... developer of herbal-based and non-steroidal skincare products, was awarded as winners of American ... innovation products. This competition was hosted jointly by HSN and Good Housekeeping. , ...
(Date:3/23/2017)... ... 23, 2017 , ... The Boulevard is honored to host Shriners and Masons ... be located in the Main West Entrance of The Boulevard (in front of JCPenney). ... is necessary and each child with a parent or guardian will be photographed for ...
(Date:3/23/2017)... ... ... “Beyond and Back”: a true-life testimony of tragedy and the miraculous power ... Rose, a wife, mother and grandmother committed to sharing her many spiritual adventures which ... new book presents actual events in the life of her family, which validate her ...
(Date:3/23/2017)... (PRWEB) , ... March 23, 2017 , ... ... has selected HealthiPASS, an innovative patient - centric payment system, to expand its ... massive improvements in the patient financial experience. , “At Ogden Clinic, we ...
(Date:3/23/2017)... ... March 23, 2017 , ... “More Corruption”: a simple and strong explanation of the God’s ... the rulers of Heaven was asked by God to write a book about Him. , ... just because I kept my commitment to the Lord God. They have not walked in ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... , Mar 23, 2017 NeuroVive Pharmaceutical ... today announced that the English version of the Annual report ... www.neurovive.com .  ... About NeuroVive NeuroVive Pharmaceutical AB is a ... discovery and development of medicines that preserve mitochondrial integrity and ...
(Date:3/22/2017)... -- Research and Markets has announced the addition of ... Industry Forecast to 2025" report to their offering. ... The Global Respiratory care ... 10.9% over the next decade to reach approximately $38.27 billion by ... and forecasts for all the given segments on global as well ...
(Date:3/22/2017)... Under the impetus of the fast-growing ... increased year by year at the CAGR of ... market size will maintain the growth rate of ... billion in 2021, thanks to severe aging, the ... agents and supporting policies. At present, Chinese ...
Breaking Medicine Technology: