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Providing comprehensive health care to children with chronic illness
1Department of Pediatrics, Albert Einstein College of Medicine, Bronx Municipal Hospital Center, NY 10461.
Objectives:
To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care.
Design:
A pretest-posttest randomized control trial.
Setting:
An inner-city municipal teaching hospital.
Sample:
Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions.
Interventions:
A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care.
Measurements And Results:
Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care.
Conclusions:
These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.