Association of Care Coordination Experience and Health Services Use with Main Provider Type for Children with Inflammatory Bowel Disease

deJong, Neal A.; Wofford, Marie; Song, Paula H.; Kappelman, Michael D.

doi:10.1016/j.jpeds.2021.03.013

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…Given the weaknesses found in the continuity of care for children with CZS in the RAS, it should be stressed that families are reluctant to disengage from specialized services, reporting that, sometimes, PHC professionals are unaware of the health demands of these children and their families, as the links were built with the services that families initially accessed most, the secondary and tertiary levels of the SUS (24) .…”

Section: Discussionmentioning

confidence: 99%

Health care network for children with zika virus from the perspective of professionals

Andrade,

Marcon,

Batiston

et al. 2023

Rev. Gaúcha Enferm.

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Objective: To know the perspective of health professionals working in specialized care regarding the assistance offered to children with Congenital Zika Virus Syndrome in the Health Care Network. Method: Qualitative study carried out in Campo Grande-MS through semi-structured interviews, between September and October 2020, with 12 professionals working in a reference service for people with physical and intellectual disabilities. Minayo’s thematic analysis and the theoretical subsidies of the care model for chronic conditions were used for interpretation. Results: Assistance in the network is weakened by aspects related to access, monitoring and integration between different professionals/services. The potential involves the implementation of the referral and counter-referral system, the communication/integration between these services and the training of professionals. Final considerations: The participants perceive that assistance is influenced by the availability of trained professionals to work in a network and the optimization of access and follow-up at different points of care.

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Section: Discussionmentioning

confidence: 99%

Health care network for children with zika virus from the perspective of professionals

Andrade,

Marcon,

Batiston

et al. 2023

Rev. Gaúcha Enferm.

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“…Diante das fragilidades encontradas para a continuidade do cuidado à criança com SCZ na RAS, destaca-se que as famílias demonstram resistência em desvincular-se dos serviços especializados relatando que, por vezes, os profissionais da APS desconhecem as demandas em saúde dessas crianças e suas famílias, pois os vínculos foram construídos com os serviços que as famílias mais acessaram inicialmente, os níveis secundários e terciários do SUS (24) .…”

Section: Discussionunclassified

Rede de atenção à saúde de crianças com zika vírus na perspectiva de profissionais

Andrade,

Marcon,

Batiston

et al. 2023

Rev. Gaúcha Enferm.

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RESUMO Objetivo: Conhecer a perspectiva dos profissionais de saúde atuantes na atenção especializada acerca da assistência ofertada às crianças com Síndrome Congênita do Zika vírus na Rede de Atenção à Saúde. Método: Estudo qualitativo realizado em Campo Grande-MS por meio de entrevista semiestruturada, entre setembro e outubro de 2020, com 12 profissionais atuantes em um serviço de referência para pessoas com deficiência física e intelectual. Utilizou-se a análise temática de Minayo e os subsídios teóricos do modelo de atenção às condições crônicas para interpretação. Resultados: A assistência na rede é fragilizada por aspectos relacionados ao acesso, acompanhamento e integração entre os diferentes profissionais/serviços. As potencialidades envolvem a efetivação do sistema de referência e contrarreferência, a comunicação/integração entre esses serviços e a capacitação dos profissionais. Considerações finais: Os participantes percebem quea assistência éinfluenciada pela disponibilidade de profissionais capacitados para atuar em rede e a otimização do acesso e seguimento nos diferentes pontos de atenção.

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Health Services Utilization and Specialist Care in Pediatric Inflammatory Bowel Disease: A Multiprovince Population-Based Cohort Study

Kuenzig,

Bitton,

Carroll

et al. 2024

Inflammatory Bowel Diseases

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Background Patterns of health services utilization among children with inflammatory bowel disease (IBD) are important to understand as the number of children with IBD continues to increase. We compared health services utilization and surgery among children diagnosed <10 years of age (Paris classification: A1a) and between 10 and <16 years of age (A1b). Methods Incident cases of IBD diagnosed <16 years of age were identified using validated algorithms from deterministically linked health administrative data in 5 Canadian provinces (Alberta, Manitoba, Nova Scotia, Ontario, Quebec) to conduct a retrospective cohort study. We compared the frequency of IBD-specific outpatient visits, emergency department visits, and hospitalizations across age groups (A1a vs A1b [reference]) using negative binomial regression. The risk of surgery was compared across age groups using Cox proportional hazards models. Models were adjusted for sex, rural/urban residence location, and mean neighborhood income quintile. Province-specific estimates were pooled using random-effects meta-analysis. Results Among the 1165 (65.7% Crohn’s) children with IBD included in our study, there were no age differences in the frequency of hospitalizations (rate ratio [RR], 0.88; 95% confidence interval [CI], 0.74-1.06) or outpatient visits (RR, 0.95; 95% CI, 0.78-1.16). A1a children had fewer emergency department visits (RR, 0.70; 95% CI, 0.50-0.97) and were less likely to require a Crohn’s-related surgery (hazard ratio, 0.49; 95% CI, 0.26-0.92). The risk of colectomy was similar among children with ulcerative colitis in both age groups (hazard ratio, 0.71; 95% CI, 0.49-1.01). Conclusions Patterns of health services utilization are generally similar when comparing children diagnosed across age groups.

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Association of Care Coordination Experience and Health Services Use with Main Provider Type for Children with Inflammatory Bowel Disease

Cited by 4 publications

References 35 publications

Health care network for children with zika virus from the perspective of professionals

Health care network for children with zika virus from the perspective of professionals

Rede de atenção à saúde de crianças com zika vírus na perspectiva de profissionais

Health Services Utilization and Specialist Care in Pediatric Inflammatory Bowel Disease: A Multiprovince Population-Based Cohort Study

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