Patients with Down syndrome (DS) have significant specialized healthcare needs.Our objective was to understand what families of patients with DS perceive to be the most pressing gaps in health care, barriers to attendance at a DS specialty clinic, and what they thought a specialty healthcare clinic for people with DS ought to include as part of the clinical package. A qualitative survey was distributed nationally through the online platform SurveyMonkey. We divided respondents into two groups: those who attended a DS specialty clinic (n = 141) and those who did not (n = 100). Data were cleaned and analyzed in RStudio 3.6.3. Results demonstrate that families value mental health services, therapies (e.g., physical therapy, occupational therapy, and speech therapy), developmental specialists, dietitians, and educational advocates. Lack of clear advertisement, especially within low-income communities, a lack of awareness of DS specialty clinics, and travel time to clinics constituted significant barriers to care. These findings are arguably of benefit to those who direct DS specialty clinics because they offer direction for resource allocation in a time of increasing healthcare costs and financial scrutiny.
The routine use of frozen blood in a community hoapital is economically feasible even with only 40 per cent utilization of platelet concentrates and 100 per cent utilization of cryoprecipitate and Factor VIII-poor plasma. The medical advantages far outweigh the minimal added costs. Large hospitah with active blood banks should investigate the possibility of using frozen blood routinely. The fear of and the resistance to adopting newer procedures which may be technically more difficult must be overcome before the widespread w e of frozen blood becomes a reality. From the economic atandpoint, it already is.
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