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- Publisher
- American Medical Association
- Copyright
- Copyright 2020 American Medical Association. All Rights Reserved.
- ISSN
- 2168-6203
- eISSN
- 2168-6211
- DOI
- 10.1001/jamapediatrics.2020.5026
- Publisher site
- See Article on Publisher Site
Abstract
Key PointsQuestionWhat is the effect of a hospital consultation service for children with medical complexity (CMC) from their outpatient comprehensive care clinicians? FindingsIn this randomized quality improvement trial involving 342 high-risk CMC, the bayesian probability was 91% to 98% that hospital consultation reduced total hospital days relative to usual hospitalist care (primary outcome, 2.72 vs 6.01 days per child-year), hospitalizations, and health system costs. MeaningAmong CMC receiving comprehensive outpatient care, a hospital consultation service from outpatient clinicians likely reduced total hospital days, hospitalizations, and health system costs.
Journal
JAMA Pediatrics – American Medical Association
Published: Jan 30, 2021
Keywords: consultation,ambulatory care services,child,outpatients,chief complaint,comprehensive health care,primary outcome measure,hospitalists,hospital care,health care systems,medically complex conditions,pediatric intensive care unit