SUPPLEMENT ARTICLE |
Care Coordination Services in Pediatric Practices
* New York Medical College, New York, New York
Division of Health Policy Research, American Academy of Pediatrics, Elk Grove Village, Illinois
Wellness Center, San Carlos Apache Tribe, San Carlos, Arizona
Objective. To examine the frequency with which pediatricians provide care coordination services to children, particularly those with special health care needs, in their practices and the barriers to providing these services.
Methods. An 8-page questionnaire was mailed to 1632 randomly selected US members of the American Academy of Pediatrics.
Results. The response rate was 56.7%. Most pediatricians (71.2%) reported that they or someone in their practice serves as the primary care coordinator for their children with special needs, but fewer than one fourth (23.3%) always contact the school about the child’s health and educational needs as part of care coordination, only 18.7% always schedule time with the child’s family to discuss the findings of a specialist, and only 23.2% meet with the discharge planning team to facilitate transition from hospital to home. The respondents identified the 2 top barriers that impede this activity: limited time and lack of medical staff in their offices.
Conclusions. Although most pediatricians believe that they are providing care coordination services, when asked about specific care coordination activities, such as contacting the school or scheduling time with the family to discuss the findings of a specialist, many do not provide these services.
Key Words: care coordination • children with special health care needs
Abbreviations: CSHCN, children with special heath care needs • AAP, American Academy of Pediatrics • HMO, health maintenance organization
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  K. M. Rankin, A. Cooper, K. Sanabria, H. J. Binns, and C. Onufer Illinois Medical Home Project: Pilot Intervention and Evaluation American Journal of Medical Quality, July 1, 2009; 24(4): 302 - 309. [Abstract] [PDF]
|
|
|
|
 |
|
 A. Golnik, M. Ireland, and I. W. Borowsky Medical Homes for Children With Autism: A Physician Survey Pediatrics, March 1, 2009; 123(3): 966 - 971. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. C. Antonelli, C. J. Stille, and D. M. Antonelli Care Coordination for Children and Youth With Special Health Care Needs: A Descriptive, Multisite Study of Activities, Personnel Costs, and Outcomes Pediatrics, July 1, 2008; 122(1): e209 - e216. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. E. Benedict Quality Medical Homes: Meeting Children's Needs for Therapeutic and Supportive Services Pediatrics, January 1, 2008; 121(1): e127 - e134. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Z. Kuo, T. L. Cheng, and P. C. Rowe Successful Use of a Primary Care Practice Specialty Collaboration in the Care of an Adolescent With Chronic Fatigue Syndrome Pediatrics, December 1, 2007; 120(6): e1536 - e1539. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. B. Gordon, H. H. Colby, T. Bartelt, D. Jablonski, M. L. Krauthoefer, and P. Havens A Tertiary Care Primary Care Partnership Model for Medically Complex and Fragile Children and Youth With Special Health Care Needs Arch Pediatr Adolesc Med, October 1, 2007; 161(10): 937 - 944. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Dorros, E. Kurtzer-White, M. Ahlgren, P. Simon, and B. Vohr Medical Home for Children With Hearing Loss: Physician Perspectives and Practices Pediatrics, August 1, 2007; 120(2): 288 - 294. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Brachlow, K. K. Ness, M. L. McPheeters, and J. G. Gurney Comparison of Indicators for a Primary Care Medical Home Between Children With Autism or Asthma and Other Special Health Care Needs: National Survey of Children's Health Arch Pediatr Adolesc Med, April 1, 2007; 161(4): 399 - 405. [Abstract] [Full Text] [PDF]
|
|
