Paeds Vivas · clinical-assessment-and-reasoning
Continuity of care and the paediatric medical home — branching viva
Branching viva on continuity domains, medical-home coordination, ED loop closure, complex care and transition.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar responsible for longitudinal care design across clinic, ED and ward interfaces. The examiner will challenge definitions, coordination and disposition.
Stem
The examiner will move from definitions to a complex-care discharge and then to transition. [1] [7]
References12ShowHide
- [1]Haggerty JL, Reid RJ, Freeman GK, et al. Continuity of care: a multidisciplinary review. BMJ (Clinical research ed.), 2003.PMID 14630762
- [2]Sia C, Tonniges TF, Osterhus E, et al. History of the medical home concept. Pediatrics, 2004.PMID 15121914
- [3]Homer CJ, Klatka K, Romm D, et al. A review of the evidence for the medical home for children with special health care needs. Pediatrics, 2008.PMID 18829788
- [4]Christakis DA, Mell L, Koepsell TD, et al. Association of lower continuity of care with greater risk of emergency department use and hospitalization in children. Pediatrics, 2001.PMID 11230593
- [5]McAllister JW, Presler E, Cooley WC Practice-based care coordination: a medical home essential. Pediatrics, 2007.PMID 17766512
- [6]Turchi, Renee M Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems. Pediatrics, 2014.PMID 24777209
- [7]Kuo DZ, McAllister JW, Rossignol L, et al. Care Coordination for Children With Medical Complexity: Whose Care Is It, Anyway? Pediatrics, 2018.PMID 29496973
- [8]White PH, Cooley WC Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
- [9]Conners GP, Kressly SJ, Perrin JM, et al. Nonemergency Acute Care: When It's Not the Medical Home. Pediatrics, 2017.PMID 28557775
- [10]Szilagyi, Moira A Health Care Issues for Children and Adolescents in Foster Care and Kinship Care. Pediatrics, 2015.PMID 26416941
- [11]Cohen E, Quartarone S, Orkin J, et al. Effectiveness of Structured Care Coordination for Children With Medical Complexity: The Complex Care for Kids Ontario (CCKO) Randomized Clinical Trial. JAMA pediatrics, 2023.PMID 36939728
- [12]Tschudy MM, Raphael JL, Nehal US, et al. Barriers to Care Coordination and Medical Home Implementation. Pediatrics, 2016.PMID 27507894