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Evaluating Care Models for Children with Multiple Chronic Conditions: Insights from a Systematic Review

Evaluating Care Models for Children with Multiple Chronic Conditions: Insights from a Systematic Review

Introduction

As a speech-language pathologist dedicated to improving outcomes for children, understanding effective care models for those with multiple chronic conditions is crucial. The systematic review titled "Systematic Review of Programs Treating High-Need and High-Cost People With Multiple Chronic Diseases or Disabilities in the United States, 2008–2014" provides valuable insights into various care models that can be adapted for pediatric populations.

Key Findings from the Review

The review analyzed 27 studies across five models of care, focusing on clinical outcomes, patient satisfaction, and healthcare use. Notably, care and case management, as well as disease management, emerged as promising models. These models reported improvements in all three outcomes, albeit not within the same study but across multiple studies.

For care and case management models, most improvements were related to healthcare use, while disease management models showed significant enhancements in clinical outcomes. This distinction highlights the importance of tailoring interventions to specific needs and contexts.

Implications for Practitioners

For practitioners working with children, these findings underscore the potential of care and case management models. Implementing a collaborative approach involving interdisciplinary teams can address both medical and social needs, crucial for children with complex conditions. Here are some actionable steps for practitioners:

Encouraging Further Research

While the review offers valuable insights, it also highlights the need for more rigorous research, particularly randomized controlled trials (RCTs), to strengthen the evidence base. Practitioners are encouraged to contribute to this body of research by:

Conclusion

Implementing evidence-based care models can significantly enhance outcomes for children with multiple chronic conditions. By focusing on interdisciplinary collaboration, home-based interventions, and technology integration, practitioners can make a meaningful impact. Continued research and data sharing are essential to refine these models and ensure they meet the evolving needs of this population.

To read the original research paper, please follow this link: Systematic Review of Programs Treating High-Need and High-Cost People With Multiple Chronic Diseases or Disabilities in the United States, 2008–2014.


Citation: Bleich, S. N., Sherrod, C., Chiang, A., Boyd, C., Wolff, J., DuGoff, E., Salzberg, C., Anderson, K., Leff, B., & Anderson, G. (2015). Systematic Review of Programs Treating High-Need and High-Cost People With Multiple Chronic Diseases or Disabilities in the United States, 2008–2014. Preventing Chronic Disease, 12, E197. https://doi.org/10.5888/pcd12.150275
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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