Improving Health of Children with Medical Complexity in the Community: Literature and its Limits

In this Complex Care Journal Club podcast episode, Dr. Michelle Watkinson discusses a systematic review of studies that evaluate community-based interventions for family caregivers of children with medical complexity (CMC). She describes important gaps in the literature about effective strategies to improve health for CMC in the home and community, implications for practice, and the next steps from this work. SPEAKERS Michelle Watkinson, MD, MPH Assistant Professor of Pediatrics, University of Pittsburgh School of Medicine Pediatrician, Division of Palliative Medicine and Supportive Care and Division of General Academic Pediatrics, UPMC Children’s Hospital of Pittsburgh HOST Kathleen Huth, MD, MMSc Assistant Professor of Pediatrics, Harvard Medical School Pediatrician, Complex Care Service, Department of Pediatrics, Boston Children's Hospital DATES Initial publication: August 7, 2023 CITATION Watkinson MD, Huth K. Improving Health of Children with Medical Complexity in the Community: Literature and its Limits. 08/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/N8tSUjCFR80, https://on.soundcloud.com/Ry19W. JOURNAL CLUB ARTICLE Watkinson MD, Ehlenbach M, Chung PJ, et al. Interventions in the Home and Community for Medically Complex Children: A Systematic Review. Pediatrics. 2023;151(5):e2022058352. doi:10.1542/peds.2022-058352 OTHER ARTICLES REFERENCED Barnert ES, Coller RJ, Nelson BB, Thompson LR, Klitzner TS, Szilagyi M, Breck AM, Chung PJ. A Healthy Life for a Child With Medical Complexity: 10 Domains for Conceptualizing Health. Pediatrics. 2018 Sep;142(3):e20180779. doi: 10.1542/peds.2018-0779. Epub 2018 Aug 17. PMID: 30120101. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Improving+Health+of+Children+with+Medical+Complexity_Watkinson_080723.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu