D J Jessop1, R E Stein. 1. Department of Pediatrics, Albert Einstein College of Medicine, Bronx Municipal Hospital Center, NY 10461.
Abstract
OBJECTIVES: To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care. DESIGN: A pretest-posttest randomized control trial. SETTING: An inner-city municipal teaching hospital. SAMPLE: Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions. INTERVENTIONS: A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care. MEASUREMENTS AND RESULTS: Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care. CONCLUSIONS: These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.
RCT Entities:
OBJECTIVES: To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care. DESIGN: A pretest-posttest randomized control trial. SETTING: An inner-city municipal teaching hospital. SAMPLE: Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions. INTERVENTIONS: A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care. MEASUREMENTS AND RESULTS: Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care. CONCLUSIONS: These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.
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