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The role of a multidisciplinary team in a pediatric pulmonary hypertension center
Elise Whalen1, Erin Ely2, Anna Brown3
1Department of Pediatric Pulmonology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
Insights
Multidisciplinary teams in pediatric pulmonary hypertension (PH) centers enhance care by addressing complex challenges. These teams provide essential support, resources, and improve quality of life for PH patients.
Area of Science:
- Pediatric Medicine
- Cardiology
- Pulmonology
Background:
- Pediatric pulmonary hypertension (PH) is a rare and complex condition requiring specialized care.
- Limited accredited pediatric PH centers and healthcare facility experience pose challenges for patient management.
- Patients face high medication costs, fragmented care across specialties, and lack of community understanding.
Purpose of the Study:
- To highlight the critical role of multidisciplinary teams in improving care delivery for pediatric PH patients.
- To emphasize how structured teams can effectively manage the multifaceted challenges associated with PH.
- To advocate for the establishment and optimal composition of these specialized care teams.
Main Methods:
- The study emphasizes a collaborative approach involving various healthcare professionals.
- Key team members include physicians, advanced practice providers, nurses, dietitians, physiologists, respiratory therapists, social workers, and research coordinators.
- Subspecialty collaborations with cardiology, pulmonology, genetics, psychology, and palliative care are integral.
Main Results:
- Multidisciplinary teams can effectively address the challenges of pediatric PH.
- Clear delineation of tasks and roles ensures comprehensive patient support and resources.
- Improved patient outcomes and quality of life are achievable through coordinated care.
Conclusions:
- Multidisciplinary teams are essential for optimizing care in pediatric pulmonary hypertension centers.
- Team composition should consider patient population heterogeneity, available resources, and community awareness.
- Referral to expert PH centers is crucial when local expertise is limited, ensuring the best possible outcomes.
Abstract:
The multidisciplinary team in a pediatric pulmonary hypertension (PH) center can improve the delivery of care to the PH patient by helping them address the different challenges that correlate to a PH diagnosis. Currently, there are a limited number of accredited pediatric PH centers nationwide, and many healthcare facilities have little experience managing patients with this complex and rare disease. Patients with PH may see providers from multiple medical specialties, inherit a high-cost burden from their PH medications, and have little community backing due to unfamiliarity of the disease. The multidisciplinary team can embrace these challenges. Through the delineation of tasks and roles within the composition of the team, patients can experience the support, resources, and care they need. The composition of the team can vary from center to center, but it may include an attending physician, advanced practice provider, nurse, dietitian, physiologists, respiratory therapists, social workers, research coordinators, and subspecialty collaboration including cardiology, pulmonology, genetics, psychology, and palliative care. When composing a multidisciplinary team, consider the heterogeneity of the patient population being served. Look at the resources available and overall community familiarity with PH. It is important to know the center's limits and refer to an expert PH center as necessary. The goal for every patient with pulmonary hypertension is to maximize their quality of life and outcomes, and the use of the multidisciplinary team is one approach to reaching this goal.
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