Publications by authors named "J L SOSCIA"
Article Synopsis
- The study focuses on aiding Children with Medical Complexity (CMC) as they transition to adult healthcare, addressing gaps in support and coordination that negatively impact their care.
- PITCare is a randomized controlled trial involving 154 CMC and their caregivers, assessing an intensive transition support program that connects patients with a multidisciplinary team for two years post-18.
- Outcomes will include successful care transition rates and patient satisfaction, with qualitative interviews to gather insights on the experience of various stakeholders, while ethics approval has been secured for the study.
Article Synopsis
- Children with medical complexity (CMC) require specialized care due to chronic conditions and often face challenges like fragmented care.
- A randomized clinical trial compared the effectiveness of the Complex Care for Kids Ontario (CCKO) program, which emphasizes intensive care coordination, to usual care over two years.
- Results showed significant improvements in the use of care planning tools for families in the CCKO program after 12 months, although the coordination of care scores did not differ significantly between the groups.
Introduction: A provincial strategy to expand care coordination and integration of care for children with medical complexity (CMC) was launched in Ontario, Canada in 2015. A process evaluation of the roll-out examined the processes, mechanisms of impact, and contextual factors affecting the implementation of the Complex Care for Kids Ontario (CCKO) intervention strategy.
Methods: This process evaluation was conducted and analyzed according to the United Kingdom Medical Research Council (UK-MRC) process evaluation framework.
Objectives: Parents of children with medical complexity are often expected to implement complicated plans of care, such as enteral tube feeding, to support the health of their child. Enteral feeding can have psychosocial implications for the parent, child, and family. Blenderized tube feeding (BTF) refers to the administration of pureed food and drinks through a feeding tube.
View Article and Find Full Text PDFBackground: Complex Care for Kids Ontario (CCKO) is a multi-year strategy aimed at expanding a hub-and-spoke model to deliver coordinated care for children with medical complexity (CMC) across Ontario.
Objective: This paper aims to identify the facilitators, barriers and lessons learned from the implementation of the Ontario CCKO strategy.
Method: Alongside an outcome evaluation of the CCKO strategy, we conducted a process evaluation to understand the implementation context, process and mechanisms.