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Pediatric nurse practitioner implementation of a pediatric trauma continuity clinic utilizing the "medical home"
Karen A Rodriguez1, Catherine J Goodhue, Jeffrey S Upperman
1Pediatric Surgery, Childrens Hospital Los Angeles, Los Angeles, California, USA. krodriguez@chla.usc.edu
Insights
Pediatric trauma aftercare is often fragmented. A "medical home" model led by a pediatric nurse practitioner can improve outcomes and satisfaction for children with trauma.
Area of Science:
- Pediatric medicine
- Trauma surgery
- Healthcare delivery systems
Background:
- Trauma is a primary cause of death and disability in US children.
- Significant disparities exist in accessing pediatric trauma and rehabilitation services.
- Post-discharge care for pediatric trauma patients is frequently inadequate or absent.
Purpose of the Study:
- To investigate the effectiveness of a "medical home" model for post-discharge pediatric trauma care.
- To assess the impact of a pediatric nurse practitioner-led approach on patient outcomes and stakeholder satisfaction.
Main Methods:
- Proposal of a post-discharge "medical home" care model.
- Involvement of a pediatric nurse practitioner as the primary care coordinator.
- Focus on improving short-term outcomes and satisfaction.
Main Results:
- The proposed model is expected to enhance short-term outcomes for pediatric trauma survivors.
- Increased satisfaction is anticipated for both caretakers and healthcare providers.
- Addressing gaps in pediatric trauma aftercare is crucial.
Conclusions:
- A structured, coordinated "medical home" approach can mitigate the negative effects of fragmented pediatric trauma aftercare.
- Pediatric nurse practitioners are well-positioned to lead such care models.
- Improving continuity of care is essential for better pediatric trauma recovery.
Abstract:
Trauma is the leading cause of pediatric morbidity and mortality in the United States. There are known gaps in access to pediatric trauma care and rehabilitation services. We postulate that aftercare is fragmented or nonexistent. We propose that postdischarge "medical home" style care, championed by a pediatric nurse practitioner, leads to improved short-term outcomes and caretaker and provider satisfaction.
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