Related Experiment Videos
Bone marrow transplant today--home tomorrow: ambulatory care issues in pediatric marrow transplantation
1Bone Marrow Transplant Program, University of Minnesota, Minneapolis 55455, USA.
Insights
Pediatric marrow transplantation has advanced, allowing more supportive care in outpatient settings. This shift impacts care delivery for pediatric bone marrow transplant recipients and their families.
Area of Science:
- Pediatric Hematology/Oncology
- Healthcare Management
Background:
- Pediatric marrow transplantation is an established intensive therapy for various childhood disorders.
- Advances in supportive care enable safe management of previously acute-care-only treatments in outpatient settings.
Purpose of the Study:
- To examine changes in healthcare delivery for pediatric bone marrow transplant (BMT) patients.
- To analyze the impact of these changes on BMT recipients and their families.
Main Methods:
- Review of current trends in pediatric BMT supportive care.
- Analysis of healthcare delivery shifts towards outpatient management.
Main Results:
- Supportive therapies for pediatric BMT are increasingly managed in outpatient settings.
- Scientific, patient care, managed care, and cost containment trends influence this shift.
Conclusions:
- The evolution of pediatric BMT care delivery impacts patients and families.
- Nurses play a crucial role in ensuring quality outpatient care for pediatric BMT recipients.
Abstract:
Pediatric marrow transplantation is now an accepted and increasingly successful intensive therapy for a wide range of disorders in children. Supportive therapies that were once thought to be possible only in the acute care setting can now be safely managed in the outpatient arena. This shift is influenced by scientific and patient care advances and by managed care and cost containment trends. The purpose of this article is to examine the interrelated aspects of change in health care delivery and their impact on pediatric bone marrow transplant recipients and families. Nurses working in all aspects of pediatric marrow transplantation have an opportunity and responsibility to impact quality patient care in the outpatient setting.