RT Journal Article
SR Electronic
T1 Children With Medical Complexity: The 10-Year Experience of a Single Center
JF Hospital Pediatrics
JO hosppeds
FD American Academy of Pediatrics
SP hpeds.2020-0085
DO 10.1542/hpeds.2020-0085
A1 Murphy, Nancy A.
A1 Alvey, Justin
A1 Valentine, Karen J.
A1 Mann, Kilby
A1 Wilkes, Jacob
A1 Clark, Edward B.
YR 2020
UL http://hosppeds.aappublications.org/content/early/2020/07/20/hpeds.2020-0085.abstract
AB Children with medical complexity (CMC) have chronic, multisystem health conditions, substantial health care needs, major functional limitations, and high resource use. They represent <1% of US children yet account for more than one-third of total pediatric health care costs. Health care systems designed for typical children do not meet the unique needs of CMC. In this special article, we describe the experience of our Comprehensive Care Program for CMC in a pediatric tertiary care center, from its launch in 2007 to its present model. We review the literature, describe our collective lessons learned, and offer suggestions for future directions.