Ricardo A Mosquera, Elenir B C Avritscher, Cheryl L Samuels, Tomika S Harris, Claudia Pedroza, Patricia Evans, Fernando Navarro, Susan H Wootton, Susan Pacheco, Guy Clifton, Shade Moody, Luisa Franzini, John Zupancic, Jon E Tyson
IMPORTANCE: Patient-centered medical homes have not been shown to reduce adverse outcomes or costs in adults or children with chronic illness. OBJECTIVE: To assess whether an enhanced medical home providing comprehensive care prevents serious illness (death, intensive care unit [ICU] admission, or hospital stay >7 days) and/or reduces costs among children with chronic illness. DESIGN, SETTING, AND PARTICIPANTS: Randomized clinical trial of high-risk children with chronic illness (≥3 emergency department visits, ≥2 hospitalizations, or ≥1 pediatric ICU admissions during previous year, and >50% estimated risk for hospitalization) treated at a high-risk clinic at the University of Texas, Houston, and randomized to comprehensive care (n = 105) or usual care (n = 96)...
December 24, 2014: JAMA