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[Role of pediatric medical home care]

N Garrec1, R Patte

  • 1Hospitalisation A Domicile Assistance Publique, Hôpitaux de Paris.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|February 18, 2004
PubMed

Insights

Paris hospitals (AP-HP) pediatric medical home care serves diverse children as an alternative to hospitalization. This study highlights the success of home care for neonates and preterm infants, emphasizing multidisciplinary teams.

Area of Science:

  • Pediatrics
  • Neonatology
  • Healthcare Management

Context:

  • The Paris hospitals (AP-HP) pediatric medical home care network provides an alternative to traditional hospitalization for children, adhering to a 1992 decree.
  • A significant portion of admissions (30%) occur during the neonatal period, indicating a need for specialized home-based care for newborns and preterm infants.

Purpose:

  • To analyze the characteristics and outcomes of newborn and preterm infants receiving pediatric medical home care.
  • To identify key factors contributing to the success of pediatric medical home care programs.

Summary:

  • The study examined 249 newborn and preterm infants in medical home care (January-September 2003), with 71% being preterm.
  • Many infants (46.4%) had prior intensive care unit admissions. Common issues included gastrointestinal and feeding disorders (65%).
  • The average stay was 20.5 days, with a median corrected gestational age of 39 weeks 6 days at admission. Many infants were low birth weight (<2500g).

Impact:

  • The findings underscore the effectiveness of pediatric medical home care for vulnerable infants.
  • The study emphasizes that the expertise of pediatric nurses within integrated multidisciplinary teams (including psychologists and social workers) is crucial for successful home care delivery.

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