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Building medical homes: improvement strategies in primary care for children with special health care needs.
- Source :
-
Pediatrics [Pediatrics] 2004 May; Vol. 113 (5 Suppl), pp. 1499-506. - Publication Year :
- 2004
-
Abstract
- Families and professionals agree that children and adolescents need access to community-based medical homes. This is especially true for children with special health care needs (CSHCN). Most primary care practices are designed for children's routine preventive and acute care needs. CSHCN benefit from care that is integrated with well-child and acute care; coordinated and actively co-managed with specialists, therapists, and educators; and offered in a planned, anticipatory manner. As the primary caregiver and decision maker, families need to be supported in a culturally effective way. Families want community resources that are integrated with care processes. Primary care practices that serve CSHCN require a practical and effective improvement method to become fully realized medical homes. A change method, which blends improvement strategies with progressive measurement, must be perceived by practices as practical and helpful, and it must be supported. The Center for Medical Home Improvement has developed and tested an effective model of medical home improvement and tools to measure the status of a practice and its progress of change.
- Subjects :
- Adolescent
Child
Chronic Disease
Humans
Models, Organizational
Pediatrics organization & administration
United States
Child Health Services organization & administration
Comprehensive Health Care organization & administration
Disabled Children
Primary Health Care organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1098-4275
- Volume :
- 113
- Issue :
- 5 Suppl
- Database :
- MEDLINE
- Journal :
- Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 15121918