TY  - JOUR
T1  - NEw workforce, practice, and payment reforms essential for improving access to pediatric subspecialty care within the medical home
AU  - McManus M, Fox H, Limb S, et al
Y1  - 2009/03/02
N1  - 10.1001/archpediatrics.2009.8
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 200
EP  - 202
VL  - 163
IS  - 3
N2  - 
The availability of pediatric subspecialty care is critically important to the health and well-being of infants, children, and adolescents. Moreover, timely collaboration with pediatric subspecialists is an essential element of the standard of care for children: the community-based medical home. The medical home model of care, with a generalist physician as the leader, has been shown to produce considerable economic1 and patient-level benefits.2- 3 In this model, primary care practice teams coordinate all care for a patient, including subspecialty care. Unfortunately, lack of access to pediatric subspecialty care within the medical home has reached crisis proportions in the United States owing to several interrelated factors: an insufficient number of pediatric subspecialists, dramatically increasing demand for pediatric subspecialty care, a fragmented system of pediatric primary and specialty care, and inadequate financing of medical education and collaborative primary and specialty pediatric care through the medical home.

SN  - 1072-4710
M3  - doi: 10.1001/archpediatrics.2009.8
UR  - http://dx.doi.org/10.1001/archpediatrics.2009.8
ER  -