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

被引：41

作者：

Peter, Sue ^{[1
]}

Chaney, Gervase ^{[1
,2
,3
]}

Zappia, Theresa ^{[1
]}

Van Veldhuisen, Corinne ^{[1
]}

Pereira, Sandra

Santamaria, Nick ^{[4
,5
]}

机构：

[1] Princess Margaret Hosp, Toronto, ON, Canada

[2] Univ Western Australia, Nedlands, WA 6009, Australia

[3] Notre Dame Univ, Fremantle, WA 6959, Australia

[4] Univ Melbourne, Melbourne, Vic, Australia

[5] Royal Melbourne Hosp, Melbourne, Vic, Australia

来源：

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING | 2011年 / 16卷 / 04期

关键词：

Care coordination; children; complex care; HEALTH-CARE; MEDICAL HOME; GUIDED CARE; DISABLED-CHILDREN; EMERGENCY; SERVICES; PARENTS; ADOLESCENTS; SETTINGS; FAMILIES;

D O I：

10.1111/j.1744-6155.2011.00303.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose. The purpose was to evaluate an ambulatory care coordination program for children with complex care needs. Design and Methods. A pre- and postcohort evaluation design was implemented to analyze the impact on hospital utilization. Results. Results included a decrease in emergency department presentations (15%, p < .001), hospital admissions (9%, p < .019), and hospital bed days (43%, p < .001). Economic analysis indicated a cost savings of $A1.9 million per annum. Practice Implications. Hospital utilization is significantly reduced for children with complex care needs through 24/7 care coordination.

引用

页码：305 / 312

页数：8

共 34 条

[1]

[Anonymous], PICT AUSTR CHILDR

[2]

Battersby M., 2003, AUST J PRIM HEALTH, V9, P41, DOI [10.1071/py03022, DOI 10.1071/PY03022]

[3] Health reform through coordinated care: SA HealthPlus [J].