J Pediatr Health Care. 2013 Nov-Dec;27(6):419-25. doi: 10.1016/j.pedhc.2012.03.005. Epub 2012 May 9.
A hospital-based Continuity of Care program for children with special health care needs is described. A family-centered team approach provides care coordination and a medical home. The program has grown during the past 10 years to include inpatients and outpatients from multiple services and outreach clinics. Improved outcomes, including decreased length of stay, decreased cost, and high family satisfaction, are demonstrated by participants in the program. Pediatric nurse practitioners play an important role in the medical home, collaborating with primary care providers, hospital-based specialists, community services, and social workers to provide services to children with special health care needs.
本文介绍了一项针对有特殊医疗需求儿童的基于医院的连续性护理计划。以家庭为中心的团队方法提供了护理协调和医疗之家。该计划在过去 10 年中不断发展，包括来自多个服务和外展诊所的住院和门诊患者。该计划的参与者证明了改善的结果，包括住院时间缩短、成本降低和家庭满意度高。儿科执业护士在医疗之家发挥着重要作用，与初级保健提供者、医院专科医生、社区服务和社会工作者合作，为有特殊医疗需求的儿童提供服务。
