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Related Concept Videos

Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Comprehensive care programmes for children with medical complexity.

Adrienne R Harvey1, Elaine Meehan1, Nicole Merrick2

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|May 30, 2024
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Summary
This summary is machine-generated.

Comprehensive care programs for children with medical complexity (CMC) show little to no significant impact on child or parent health outcomes. Evidence suggests these programs may slightly improve satisfaction but do not substantially alter healthcare utilization or costs.

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Area of Science:

  • Pediatric Healthcare
  • Complex Care Management
  • Health Services Research

Background:

  • Children with medical complexity (CMC) have high healthcare needs and functional limitations.
  • Dedicated comprehensive care programs aim to improve outcomes and reduce costs for CMC.
  • The effectiveness of these programs remains unclear.

Purpose of the Study:

  • To assess the effectiveness of comprehensive care programs for CMC.
  • To evaluate impacts on child and parent health, quality of life, healthcare utilization, and costs.
  • To determine if effectiveness varies by program setting and structure.

Main Methods:

  • Systematic review of randomized and non-randomized trials, controlled before-after studies, and interrupted time series.
  • Searched CENTRAL, MEDLINE, Embase, CINAHL, reference lists, trial registries, and grey literature.
  • Included studies comparing comprehensive care programs to usual care for CMC.

Main Results:

  • Four randomized controlled trials involving 912 CMC were included.
  • Comprehensive care showed little to no difference in child/parent health, functioning, or quality of life.
  • Slight improvements in child/family satisfaction were observed; healthcare utilization and costs showed no significant change.
  • Evidence certainty ranged from low to moderate across outcomes.

Conclusions:

  • Current evidence on the effectiveness of comprehensive care for CMC is limited and of low to moderate certainty.
  • More high-quality, consistent research is needed, including cost analyses.
  • Strong conclusions cannot be drawn due to the limited and variable quality of available studies.