Development of a Multidisciplinary Medical Home Program for NICU Graduates.
Objective: Typical primary care practices are often not equipped to meet the medical, developmental or social needs of infants discharged from a neonatal intensive care unit (NICU). These needs are exacerbated for infants and caregivers residing in poverty. This article discusses a multidisciplinary...
| Publicado en: | Maternal & Child Health Journal Vol. 24; no. 1; pp. 11 - 22 |
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| Autores principales: | , , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141192205&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141192205 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jan2020 vid: 24 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141192205 141192205 141192205 10.1007/s10995-019-02818-0 141192205 ppf: 11 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Development of a Multidisciplinary Medical Home Program for NICU Graduates. aug: au: Feehan, Katie Kehinde, Folasade Sachs, Katherine Mossabeb, Roschanak Berhane, Zek Pachter, Lee M. Brody, Susan Turchi, Renee M. affil: Center for Children and Youth with Special Health Care Needs, St. Christopher's Hospital for Children, 160 E. Erie Ave, 19134, Philadelphia, PA, USA sug: subj: Program Development Intensive Care Units, Neonatal College Graduates Multidisciplinary Care Team Education Family Centered Care Patient Centered Care Special Populations Human Socioeconomic Factors Healthcare Disparities Social Determinants of Health Medical Care Transitional Care Palivizumab Therapeutic Use Descriptive Statistics Support, Psychosocial Urban Areas Hospitals, Pediatric Outpatients ab: Objective: Typical primary care practices are often not equipped to meet the medical, developmental or social needs of infants discharged from a neonatal intensive care unit (NICU). These needs are exacerbated for infants and caregivers residing in poverty. This article discusses a multidisciplinary, family-centered medical home designed to address the needs of this special population. Methods: This is a descriptive analysis of a cohort of patients in the Next Steps Program (NSP), a multidisciplinary primary care medical home. Key program elements include: continuity of care from the NICU to primary care, routine developmental surveillance, care coordination, and proactive screening to address medical and social needs. Results: The NSP has become a primary referral source for local NICUs, with a total of 549 medically fragile infants enrolled from its inception in 2011 through 2016. Caregivers and patients experience psychosocial stressors at averages statistically significantly higher than the rest of the Commonwealth of Pennsylvania and the US. Although patients in the program use medical resources beyond that of typically developing infants, hospital utilization among this patient cohort is trending down. Discussion: Caring for medically fragile NICU graduates can be daunting for families given the array of necessary services, supports, and resources to maximize their potential. A multidisciplinary primary care medical home, such as the NSP, is a successful model of patient care demonstrating favorable associations with health care utilization, care coordination, and addressing/improving family functioning and their experience. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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