Introduction: Care coordination (CC), a core element of the medical home, has the potential to reduce fragmented care and improve patient experience for children with sickle cell disease (SCD). This study aimed to (1) assess CC for pediatric SCD and (2) determine its association with acute care utilization-emergency department encounters and hospitalizations. It was hypothesized that CC would reduce acute care utilization.
View Article and Find Full Text PDFObjective: Sickle cell disease (SCD) is marked by high utilization of medical services. The aim of this study was to determine whether having a patient-centered medical home (PCMH) is associated with a reduction in emergency care (ED) utilization or hospitalizations among children with SCD.
Methods: We collected and analyzed data from parents of 150 children, ages 1 to 17 years, who received care within a large children's hospital.
Background: Identification of psychosocial correlates of health care utilization has become an important strategy in improving clinical care. The objective of the study was to examine the fit of the Information-Motivation-Behavioral Skills (IMB) model, applied to health care utilization among children with sickle cell disease (SCD).
Procedure: Participants were parents of 150 children, ages 1-17 years, receiving care in a sickle cell center.
Pediatr Blood Cancer
February 2013
Background: While a large body of research documents acute care services for children with sickle cell disease (SCD), little is known about the primary care experiences of this population. The goal of this study was to determine to what extent children with SCD experienced care consistent with a patient-centered medical home (PCMH).
Procedure: We collected and analyzed data from 150 children, ages 1-17 years, who received care within a large children's hospital.