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November 30, 2020

Identifying and Improving the Active Ingredients in Pediatric Complex Care

Author Affiliations
  • 1Division of General Pediatrics, Department of Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
JAMA Pediatr. 2021;175(1):e205042. doi:10.1001/jamapediatrics.2020.5042

What are key active ingredients in effective pediatric complex care programs? Over the past 2 decades, these programs have increasingly arisen. The landmark report by Mosquera and colleagues1 of a randomized clinical trial of their complex care program found that patients assigned to the intervention arm experienced substantial improvements in various outcome measures, including reduced hospitalizations and hospital days. However, these findings, compelling and consistent with other reports of positive effect,2-6 do contrast with reports of other programs that have demonstrated negative, negligible, or mixed effect.7-9

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