Quantifying multifaceted needs captured at the point of care. Development of a Disabilities Terminology Set and Disabilities Complexity Scale.
Dev Med Child Neurol
; 58(6): 570-80, 2016 06.
Article
em En
| MEDLINE
| ID: mdl-27009933
ABSTRACT
AIMS:
To develop a Disabilities Terminology Set and quantify the multifaceted needs of disabled children and their families in a district disability clinic population.METHOD:
Data from structured electronic clinic letters of children attending paediatric disability clinics from June 2007 to May 2012 in Sunderland, north-east England collected at the point of clinical care were analysed to determine appropriate terms for consistent recording of each need and issue. Terms were collated to count the number of needs per child.RESULTS:
A Systemized Nomenclature of Medicine - Clinical Terms subset of 296 terms was identified and published, and 8392 consultations for 1999 children were reviewed. The required number of clinic appointments correlated strongly with the number of needs identified. Children with intellectual disabilities in addition to cerebral palsy and epilepsy had more than double the number of conditions, technology dependencies, and family-reported issues than those without. Disabled children who subsequently died had the highest burden of needs (p=0.007).INTERPRETATION:
Detailed data about needs generated outputs useful for local care pathway development and service planning. Sufficient evidence was provided for successful business cases leading to the appointment of additional paediatric disability consultants. Counting numbers of needs and issues quantifies complexity in a straightforward way. This could underpin needs-based commissioning of services.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pediatria
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Paralisia Cerebral
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Sistemas Automatizados de Assistência Junto ao Leito
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Crianças com Deficiência
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Avaliação das Necessidades
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Epilepsia
/
Transtornos do Neurodesenvolvimento
/
Doenças Neuromusculares
/
Terminologia como Assunto
Tipo de estudo:
Guideline
Limite:
Adolescent
/
Child
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Child, preschool
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Humans
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Infant
/
Newborn
País/Região como assunto:
Europa
Idioma:
En
Revista:
Dev Med Child Neurol
Ano de publicação:
2016
Tipo de documento:
Article