Nonemergency Acute Care : When It's Not the Medical Home

Copyright © 2017 by the American Academy of Pediatrics..

The American Academy of Pediatrics (AAP) affirms that the optimal location for children to receive care for acute, nonemergency health concerns is the medical home. The medical home is characterized by the AAP as a care model that "must be accessible, family centered, continuous, comprehensive, coordinated, compassionate, and culturally effective." However, some children and families use acute care services outside the medical home because there is a perceived or real benefit related to accessibility, convenience, or cost of care. Examples of such acute care entities include urgent care facilities, retail-based clinics, and commercial telemedicine services. Children deserve high-quality, appropriate, and safe acute care services wherever they access the health care system, with timely and complete communication with the medical home, to ensure coordinated and continuous care. Treatment of children under established, new, and evolving practice arrangements in acute care entities should adhere to the core principles of continuity of care and communication, best practices within a defined scope of services, pediatric-trained staff, safe transitions of care, and continuous improvement. In support of the medical home, the AAP urges stakeholders, including payers, to avoid any incentives (eg, reduced copays) that encourage visits to external entities for acute issues as a preference over the medical home.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:139

Enthalten in:

Pediatrics - 139(2017), 5 vom: 25. Mai

Sprache:

Englisch

Beteiligte Personen:

Conners, Gregory P [VerfasserIn]
Kressly, Susan J [VerfasserIn]
Perrin, James M [VerfasserIn]
Richerson, Julia E [VerfasserIn]
Sankrithi, Usha M [VerfasserIn]
COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE [VerfasserIn]
COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE [VerfasserIn]
SECTION ON TELEHEALTH CARE [VerfasserIn]
SECTION ON EMERGENCY MEDICINE [VerfasserIn]
SUBCOMMITTEE ON URGENT CARE [VerfasserIn]
TASK FORCE ON PEDIATRIC PRACTICE CHANGE [VerfasserIn]
Simon, Geoffrey R [Sonstige Person]
Boudreau, Alexy D Arauz [Sonstige Person]
Baker, Cynthia [Sonstige Person]
Barden, Graham A [Sonstige Person]
Hackell, Jesse [Sonstige Person]
Hardin, Amy [Sonstige Person]
Meade, Kelley [Sonstige Person]
Moore, Scot [Sonstige Person]
Shook, Joan E [Sonstige Person]
Callahan, James M [Sonstige Person]
Chun, Thomas H [Sonstige Person]
Conway, Edward E [Sonstige Person]
Dudley, Nanette C [Sonstige Person]
Gross, Toni K [Sonstige Person]
Lane, Natalie E [Sonstige Person]
Macias, Charles G [Sonstige Person]
Timm, Nathan L [Sonstige Person]
Alexander, Joshua J [Sonstige Person]
Bell, Denise M [Sonstige Person]
Bunik, Maya [Sonstige Person]
Burke, Bryan L [Sonstige Person]
Herendeen, Neil E [Sonstige Person]
Kahn, Joseph A [Sonstige Person]
Macias, Charles G [Sonstige Person]
Mahajan, Prashant V [Sonstige Person]
Gorelick, Marc H [Sonstige Person]
Bajaj, Lalit [Sonstige Person]
Gonzalez Del Rey, Javier A [Sonstige Person]
Herr, Sandra [Sonstige Person]
Mull, Colette C [Sonstige Person]
Schnadower, David [Sonstige Person]
Sirbaugh, Paul E [Sonstige Person]
Lumba-Brown, Angela [Sonstige Person]
Dahl-Grove, Deanna L [Sonstige Person]
Gross, Toni K [Sonstige Person]
McAneney, Constance M [Sonstige Person]
Remick, Katherine E [Sonstige Person]
Sirbaugh, Paul E [Sonstige Person]
Kharbanda, Anupam [Sonstige Person]
Nigrovic, Lise [Sonstige Person]
Mullan, Paul C [Sonstige Person]
Wolff, Margaret S [Sonstige Person]
Schor, Jeffrey A [Sonstige Person]
Edwards, Anne R [Sonstige Person]
Alexander, Joshua J [Sonstige Person]
Flanagan, Patricia J [Sonstige Person]
Hudak, Mark L [Sonstige Person]
Katkin, Julie P [Sonstige Person]
Kraft, Colleen A [Sonstige Person]
Quinonez, Ricardo A [Sonstige Person]
Shenkin, Budd N [Sonstige Person]
Smith, Tyler K [Sonstige Person]
Tieder, Joel S [Sonstige Person]

Links:

Volltext

Themen:

Journal Article

Anmerkungen:

Date Completed 10.08.2017

Date Revised 10.08.2017

published: Print

Citation Status MEDLINE

doi:

10.1542/peds.2017-0629

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM272386332