Care Coordination for Children With Medical Complexity: Whose Care Is It, Anyway?
Care Coordination for Children With Medical Complexity: Whose Care Is It, Anyway?
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DOI：
10.1542/peds.2017-1284g
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发表时间：
2018-03-01
期刊：
影响因子：
8
通讯作者：
Stille, Christopher J.
中科院分区：
文献类型：
--
作者：
Kuo, Dennis Z.;McAllister, Jeanne W.;Stille, Christopher J.
患有医疗复杂性(CMC)的儿童有多种慢性病，需要一系列以医疗和社区为基础的提供者。专心致志的护理协调越来越被视为解决CMC经常遇到的零散护理的关键。护理协调往往在概念上被误解，它是组织和推动服务集成的团队驱动的活动。在本文中，我们考察了护理协调的模型，并澄清了相关术语，如护理整合和病例管理。CMC的护理协调资源的位置可以从直接实践提供到医院等外部组织和负责任的护理组织。我们讨论了基础设施建设、设计和实施领导、护理协调工具和培训模块的使用以及新支付模式下适当的资源分配的必要性。
Children with medical complexity (CMC) have multiple chronic conditions and require an array of medical- and community-based providers. Dedicated care coordination is increasingly seen as key to addressing the fragmented care that CMC often encounter. Often conceptually misunderstood, care coordination is a team-driven activity that organizes and drives service integration. In this article, we examine models of care coordination and clarify related terms such as care integration and case management. The location of care coordination resources for CMC may range from direct practice provision to external organizations such as hospitals and accountable care organizations. We discuss the need for infrastructure building, design and implementation leadership, use of care coordination tools and training modules, and appropriate resource allocation under new payment models.