RT Journal
A1 Casey PH, Lyle RE, Bird TM, et al
T1 EFfect of hospital-based comprehensive care clinic on health costs for medicaid-insured medically complex children
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2011
FD May 1
VO 165
IS 5
SP 392
OP 398
DO 10.1001/archpediatrics.2011.5
UL http://dx.doi.org/10.1001/archpediatrics.2011.5
AB 
Improvements in surgical, general medical, and intensive care have increased the survival of low-birth-weight children born preterm with various congenital anomalies. As a result, an increasing number of children with multiple chronic conditions now live at home.1- 6 Many such children have an associated chronic neurodevelopmental disability and are in need of assistance with special medical equipment (such as tracheostomy and gastrostomy tubes).7- 9 These medically complex children (MCC) have the most medically complex conditions of children with special health care needs (CSHCN).10- 11 Although CSHCN experience more hospital admissions and outpatient visits compared with healthy children,12 MCC may require even more hospitalizations and physician visits. Although the health care needs of CSHCN often are not met,13- 15 MCC have an even higher number of unmet needs, both within the health care system and with community-based services.10,16- 17