Children With Medical Complexity: The 10-Year Experience of a Single Center
Nancy Murphy, Justin Alvey, Karen Valentine, Kilby Mann, Jacob Wilkes, Edward B. Clark
Abstract
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.
Topics & Concepts
MedicineHealth careCenter (category theory)Tertiary careMedical homeResource (disambiguation)MEDLINENursingFamily medicinePrimary careChemistryPolitical scienceComputer scienceLawEconomicsEconomic growthCrystallographyComputer networkChild and Adolescent HealthAdolescent and Pediatric HealthcareHealthcare cost, quality, practices