Affiliations: Shriners Hospital for Children – Canada,
Montreal, Quebec, Canada
Note: [] Address for correspondence: Rochelle Rein, Shriners Hospital for
Children – Canada, 1529 Cedar Avenue, Montreal, Quebec, Canada H3G 1A6.
Tel.: +1 514 842 4464; Fax: +1 514 842 7553; E-mail: rrein@shrinenet.org
Abstract: Introduction: Care Coordination is the health care delivery model
that has been implemented in the prosthetic clinic at the Shriners Hospital for
Children – Canada. In delivering comprehensive, family-centered services,
it is important to evaluate the extent to which patients and families perceive
coordinated care to occur. Aim: To evaluate the delivery of Care Coordination services to our
patients and families in the prosthetic clinic, and to identify strengths and
areas for improvement. The time required to provide coordinated care was also
evaluated. Methods: The MPOC-20 was administered to the parents of 23 lower
extremity deficiency or amputee patients seen in the prosthetic clinic over a
14-month period. Results: Providing coordinated and comprehensive care related to
involving families as part of the team was the most frequently reported
strength of the prosthetic clinic Care Coordination. Providing information to
families about their child's progress and having information and resources
available were areas identified as needing improvement by approximately 30% of
respondents. Those with complex health needs required five times the amount of
Care Coordination devoted time than the average patient. Conclusions: The MPOC-20 proved to be a useful tool to highlight
areas for improvement in the prosthetic clinic and to validate aspects of care
coordination that were appreciated by families.
Keywords: Care Coordination, family-centered care, MPOC, limb deficiency, pediatric
