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Related Experiment Video

Updated: Apr 7, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Medically Complex Care: The Newest Competency for Primary Care?

Jack Maypole¹, Matthew D Sadof, Marilyn Augustyn

¹*Division of Developmental and Behavioral Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA; †Division of Academic General Pediatrics and Adolescent Medicine, Department of Pediatrics, Baystate Children's Hospital, Tufts University School of Medicine, Boston, MA.

Journal of Developmental and Behavioral Pediatrics : JDBP

|July 9, 2015

Summary

This case highlights the challenges in coordinating care for premature infants with global developmental delays. Effective care coordination by a primary care pediatrician is crucial for better outcomes and cost-effectiveness.

Related Experiment Videos

Last Updated: Apr 7, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

Pediatric care coordination
Management of complex pediatric cases
Developmental pediatrics

Background:

Case presentation of a 22-month-old former premature infant with feeding difficulties and global developmental delay.
History obtained from foster caretaker reveals multiple clinical encounters and hospitalizations at tertiary care centers.
Limited prenatal and neonatal intensive care unit (NICU) admission details available.

Observation:

Infant exhibits unusual facial features, low tone, and vision problems.
Physical examination reveals significant delays across all developmental streams.
Potential need for a gastrostomy tube due to failure to thrive.

Findings:

Foster caretaker expresses concerns regarding appointment coordination, medical information management, and financial burdens.
The child has seen multiple providers, lacking a consistent primary care physician.
Current care approach is fragmented and unlikely to improve without significant intervention.

Implications:

The case underscores the need for a structured approach to managing complex pediatric cases.
Investigates the role of primary care pediatricians in leading multidisciplinary care teams.
Explores the potential for improved outcomes and cost-effectiveness through dedicated care coordination.