Healthcare costs and utilization in medically fragile pediatric patients during the first year of care coordination.
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| Title: | Healthcare costs and utilization in medically fragile pediatric patients during the first year of care coordination. |
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| Authors: | Swann-Thomsen, Hillary E. (AUTHOR), Tivis, Rick (AUTHOR), Sitts, Claire (AUTHOR), Hanks, John (AUTHOR) |
| Source: | Children's Health Care. Jan-Mar2026, Vol. 55 Issue 1, p41-56. 16p. |
| Subjects: | Medical care use, Poisson distribution, Outpatient services in hospitals, Chronic diseases in children, Statistical sampling, Retrospective studies, Chi-squared test, Descriptive statistics, Medical records, Acquisition of data, Electronic health records, Medical needs assessment, Data analysis software, Medical care costs, Integrated health care delivery, Regression analysis |
| Abstract: | The current study explored the impact of pediatric outpatient care coordination across the first year of enrollment to better understand how services can be stratified for medically fragile children to ensure their needs are met. A retrospective chart review was conducted on pediatric patients with at least one care coordination encounter in a large health system from 2018 to 2020. Utilization, costs, and care coordination encounters were extracted. Data analysis included descriptive statistics and general linear modeling techniques. Children with more severe medical complexity had higher overall utilization and costs than children with moderate medical complexity across the first year. Both moderately and severely medically complex patients saw a reduction healthcare utilization and costs and decreased frequency of care coordination encounters over the first year. Effective and targeted care coordination can reduce healthcare costs and utilization and may equip the family to better navigate the health system. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | The current study explored the impact of pediatric outpatient care coordination across the first year of enrollment to better understand how services can be stratified for medically fragile children to ensure their needs are met. A retrospective chart review was conducted on pediatric patients with at least one care coordination encounter in a large health system from 2018 to 2020. Utilization, costs, and care coordination encounters were extracted. Data analysis included descriptive statistics and general linear modeling techniques. Children with more severe medical complexity had higher overall utilization and costs than children with moderate medical complexity across the first year. Both moderately and severely medically complex patients saw a reduction healthcare utilization and costs and decreased frequency of care coordination encounters over the first year. Effective and targeted care coordination can reduce healthcare costs and utilization and may equip the family to better navigate the health system. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 02739615 |
| DOI: | 10.1080/02739615.2024.2338750 |
