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Emergency Medicine InternationalVolume 2012 2012, Article ID 837020, 6 pages

Review ArticleDepartment of Pediatrics, Mattel Children-s Hospital UCLA, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA

Received 7 September 2011; Accepted 11 October 2011

Academic Editor: Jeffrey Goodloe

Copyright © 2012 Carlos F. Lerner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


One of the most notable trends in child health has been the increase in the number of children with special health care needs, including those with complex chronic conditions. Care of these children accounts for a growing fraction of health care resources. We examine recent developments in health care, especially with regard to medical transport and prehospital care, that have emerged to adapt to this remarkable demographic trend. One such development is the focus on care coordination, including the dissemination of the patient-centered medical home concept. In the prehospital setting, the need for greater coordination has catalyzed the development of the emergency information form. Training programs for prehospital providers now incorporate specific modules for children with complex conditions. Another notable trend is the shift to a family-centered model of care. We explore efforts toward regionalization of care, including the development of specialized pediatric transport teams, and conclude with recommendations for a research agenda.

Author: Carlos F. Lerner, Robert B. Kelly, Leslie J. Hamilton, and Thomas S. Klitzner



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