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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.
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]
Copyright of Children's Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Healthcare costs and utilization in medically fragile pediatric patients during the first year of care coordination.
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  Data: <searchLink fieldCode="JN" term="%22Children's+Health+Care%22">Children's Health Care</searchLink>. Jan-Mar2026, Vol. 55 Issue 1, p41-56. 16p.
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  Data: 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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  Data: <i>Copyright of Children's Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/02739615.2024.2338750
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 41
    Subjects:
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Poisson distribution
        Type: general
      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Chronic diseases in children
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Regression analysis
        Type: general
    Titles:
      – TitleFull: Healthcare costs and utilization in medically fragile pediatric patients during the first year of care coordination.
        Type: main
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            NameFull: Swann-Thomsen, Hillary E.
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            NameFull: Tivis, Rick
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            NameFull: Sitts, Claire
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            NameFull: Hanks, John
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            – D: 01
              M: 01
              Text: Jan-Mar2026
              Type: published
              Y: 2026
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              Value: 55
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