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Primary Care Preparation for Children with Medical Complexity for Emergency Encounters in the Community
Insights
Children with medical complexities (CMC) require specialized care. Emergency information forms can improve how primary care providers prepare CMC and their families for emergency services and disaster events.
Area of Science:
- Pediatric healthcare
- Medical home models
- Emergency preparedness
Background:
- Children with medical complexities (CMC) face challenges in community wellness.
- This population has high healthcare utilization, including frequent hospitalizations and emergency care.
- Community providers often lack familiarity with rare disorders common in CMC.
Purpose of the Study:
- To assist primary care providers (PCPs) in identifying and preparing CMC.
- To enhance the interface between CMC, families, and emergency services.
- To prepare CMC and families for disaster events.
Main Methods:
- The article provides guidance for PCPs on managing CMC.
- It emphasizes the role of the medical home in coordinating care.
- It advocates for the use of emergency information forms.
Main Results:
- Emergency information forms can facilitate personalized care during emergencies.
- Proactive preparation by PCPs can improve outcomes for CMC.
- PCPs can play a key role in bridging care gaps for CMC.
Conclusions:
- Effective preparation of CMC and families is crucial for emergency and disaster situations.
- Emergency information forms are valuable tools for PCPs.
- Improving community provider knowledge is essential for CMC care.
Abstract:
It can be difficult to assist children with medical complexities (CMC) in maintaining wellness outside of hospital and emergency department settings. This growing population, with high use of medical technology and specialty care, has created a challenge for community providers who may infrequently care for children with these rare disorders and needs. CMCs have increased hospitalization rates and emergency care use. It is not realistic to believe that emergency health providers will know how to manage every type of CMC when they present for emergency care. Primary care providers (PCPs) may be able to use the medical home to avoid some urgent visits, but when CMC need emergency services, an emergency information form may add great benefit and personalized care. This article assists PCPs in identifying and preparing CMCs and families to successfully interface with emergency services as well as prepare for disaster events. [Pediatr Ann. 2018;47(3):e102-e105.].
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