Introduction Building integrated services in a primary care setting is considered an essential
important strategy for establishing a high-quality and affordable health care system. The …

Background Caring for children with chronic and complex medical needs places
extraordinary stress on parents and other family members. A sco** review was …

Background: Children with chronic invasive ventilator dependence living at home are a
diverse group of children with special health care needs. Medical oversight, equipment …

Background Primary care medical homes may improve health outcomes for children with
special healthcare needs (CSHCN), by improving care coordination. However, community …

Importance Children with medical complexity (CMC) have chronic conditions and high
health needs and may experience fragmented care. Objective To compare the effectiveness …

Background The NHS has been challenged to adopt new integrated models of service
delivery that are tailored to local populations. Evidence from the international literature is …

Over the last 30 to 40 years, improvements in technology, as well as changing clinical
practice regarding the appropriateness of long-term ventilation in patients with “non-curable” …

1200 CMAJ, November 4, 2014, 186 (16) dren and youth are rarely incorporated into these
changes8 (Appendix 1, available at www. cmaj. ca/lookup/suppl/doi: 10.1503/cmaj. 141036 …

Comprehensive primary healthcare for patients with complex care needs requires
connections to other health services, social services and community supports. This …

Access to a wide range of services is essential for children with complex health conditions
and their families to ensure family-centred care that promotes positive outcomes. Despite …