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Pediatrics. 1994 Apr;93(4):602-7.

Providing comprehensive health care to children with chronic illness.

Author information

  • 1Department of Pediatrics, Albert Einstein College of Medicine, Bronx Municipal Hospital Center, NY 10461.

Abstract

OBJECTIVES:

To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care.

DESIGN:

A pretest-posttest randomized control trial.

SETTING:

An inner-city municipal teaching hospital.

SAMPLE:

Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions.

INTERVENTIONS:

A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care.

MEASUREMENTS AND RESULTS:

Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care.

CONCLUSIONS:

These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.

PMID:
8134215
[PubMed - indexed for MEDLINE]
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