Janet Curran, Holly McCulloch, Sydney Breneol, Sarah King, Jordan Sheriko, Jacklynn Pidduck, Deborah Balsor, Julie Clegg, Shauna Best, Stacy Burgess, Sam Stewart, Mari Somerville, Sandra Magalhaes, Catie Johnson, Simonne Collins, Mary-Ann Standing
{"title":"Development of a medical chart extraction tool to identify children with medical complexity in the Maritime Provinces of Canada.","authors":"Janet Curran, Holly McCulloch, Sydney Breneol, Sarah King, Jordan Sheriko, Jacklynn Pidduck, Deborah Balsor, Julie Clegg, Shauna Best, Stacy Burgess, Sam Stewart, Mari Somerville, Sandra Magalhaes, Catie Johnson, Simonne Collins, Mary-Ann Standing","doi":"10.1093/pch/pxae058","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Children with medical complexity (CMC) are a population in need of policy and practice reform within the Canadian healthcare system. They are generally characterized as sharing four predominant characteristics: (1) one or more complex chronic condition(s), (2) functional limitations, (3) high health resources use, and (4) family-identified needs. There is currently no standard method to identify the CMC population in Canada. The aim of this research was to establish a clear method to select the best way to identify this population. This was done by developing a medical chart extraction tool specific to the Maritimes' population of CMC.</p><p><strong>Methods: </strong>This study was conducted in the Canadian Maritimes. The work was conducted in two phases; first, a consensus meeting was held to develop a Maritime-specific conceptual definition with a multidisciplinary group of experts. Second, a smaller expert team used the Maritime-specific definition to co-design a medical chart extraction tool. Ethical approval for this project was granted by IWK Health.</p><p><strong>Results: </strong>The consensus meeting involved a total of 57 relevant stakeholders from all three Maritime provinces. The definition developed through consensus included four constructs (functional limitations, chronic disease, health care use, and family-identified needs) and 12 descriptors (2 to 5 per construct). The medical chart extraction tool queried 22 items and 84 sub-items.</p><p><strong>Conclusions: </strong>The consensus process developed a strong and comprehensive medical chart extraction tool that can be applied to select the best-fit method for identifying CMC at a population level.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 4","pages":"235-243"},"PeriodicalIF":2.0000,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316528/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Paediatrics & child health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/pch/pxae058","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Children with medical complexity (CMC) are a population in need of policy and practice reform within the Canadian healthcare system. They are generally characterized as sharing four predominant characteristics: (1) one or more complex chronic condition(s), (2) functional limitations, (3) high health resources use, and (4) family-identified needs. There is currently no standard method to identify the CMC population in Canada. The aim of this research was to establish a clear method to select the best way to identify this population. This was done by developing a medical chart extraction tool specific to the Maritimes' population of CMC.
Methods: This study was conducted in the Canadian Maritimes. The work was conducted in two phases; first, a consensus meeting was held to develop a Maritime-specific conceptual definition with a multidisciplinary group of experts. Second, a smaller expert team used the Maritime-specific definition to co-design a medical chart extraction tool. Ethical approval for this project was granted by IWK Health.
Results: The consensus meeting involved a total of 57 relevant stakeholders from all three Maritime provinces. The definition developed through consensus included four constructs (functional limitations, chronic disease, health care use, and family-identified needs) and 12 descriptors (2 to 5 per construct). The medical chart extraction tool queried 22 items and 84 sub-items.
Conclusions: The consensus process developed a strong and comprehensive medical chart extraction tool that can be applied to select the best-fit method for identifying CMC at a population level.
期刊介绍：
Paediatrics & Child Health (PCH) is the official journal of the Canadian Paediatric Society, and the only peer-reviewed paediatric journal in Canada. Its mission is to advocate for the health and well-being of all Canadian children and youth and to educate child and youth health professionals across the country.
PCH reaches 8,000 paediatricians, family physicians and other child and youth health professionals, as well as ministers and officials in various levels of government who are involved with child and youth health policy in Canada.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
