Evidence map›Paper›PMID 31745836›Full record

ArticleMaternal and child health journal2020

Development of a Multidisciplinary Medical Home Program for NICU Graduates.

Katie Feehan, Folasade Kehinde, Katherine Sachs, Roschanak Mossabeb, Zek Berhane, Lee M Pachter, Susan Brody, Renee M Turchi

Abstract read
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. The future of follow-up: technology-enabled medical and developmental follow-up care for NICU graduates.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  6. Article
  7. Autism screening and diagnostic outcomes among toddlers born preterm.Developmental medicine and child neurology · 2025
    Article
  8. Review
  9. Family-centred care interventions for children with chronic conditions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  10. Review
  11. Article
  12. Parent Experiences in the NICU and Transition to Home.International journal of environmental research and public health · 2023
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Katie FeehanCenter for Children and Youth with Special Health Care Needs, St. Christopher's Hospital for Children, 160 E. Erie Ave, Philadelphia, PA, 19134, USA. kam442@drexel.edu.ORCID http://orcid.org/0000-0002-1267-0453
Folasade KehindeDepartment of Neonatal-Perinatal Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Katherine SachsCenter for Children and Youth with Special Health Care Needs, St. Christopher's Hospital for Children, 160 E. Erie Ave, Philadelphia, PA, 19134, USA.
Roschanak MossabebDepartment of Neonatal-Perinatal Medicine, Temple University Hospital, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Zek BerhaneDornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Lee M PachterValue Institute, Christiana Care, Newark, DE, USA.
Susan BrodyNextGen System Support, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Renee M TurchiCenter for Children and Youth with Special Health Care Needs, St. Christopher's Hospital for Children, 160 E. Erie Ave, Philadelphia, PA, 19134, USA.
Center for Children · USSt. Christopher's Hospital for Children · USDrexel University · USJefferson College · USTemple University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTypical primary care practices are often not equipped to meet the medical, developmental or social needs of infants discharged from a neonatal intensive care unit (NICU). These needs are exacerbated for infants and caregivers residing in poverty. This article discusses a multidisciplinary, family-centered medical home designed to address the needs of this special population.

methodsThis is a descriptive analysis of a cohort of patients in the Next Steps Program (NSP), a multidisciplinary primary care medical home. Key program elements include: continuity of care from the NICU to primary care, routine developmental surveillance, care coordination, and proactive screening to address medical and social needs.

resultsThe NSP has become a primary referral source for local NICUs, with a total of 549 medically fragile infants enrolled from its inception in 2011 through 2016. Caregivers and patients experience psychosocial stressors at averages statistically significantly higher than the rest of the Commonwealth of Pennsylvania and the US. Although patients in the program use medical resources beyond that of typically developing infants, hospital utilization among this patient cohort is trending down. DISCUSSION: Caring for medically fragile NICU graduates can be daunting for families given the array of necessary services, supports, and resources to maximize their potential. A multidisciplinary primary care medical home, such as the NSP, is a successful model of patient care demonstrating favorable associations with health care utilization, care coordination, and addressing/improving family functioning and their experience.

Indexed as

Intensive Care Units, NeonatalPatient Care TeamPatient DischargeCommunity Health ServicesContinuity of Patient CareFamily NursingHumansInfant, NewbornInterdisciplinary StudiesPatient-Centered CarePennsylvaniaPrimary Health CareProgram DevelopmentSocial Determinants of HealthCare coordinationFamily centered careMedical homeNeonatal intensive care unit (NICU)Prematurity

Identifiers

PMID31745836
OpenAlexW2990543173

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.