title: Models of comprehensive multidisciplinary care for individuals in the United States with genetic disorders.
abstract: Approaches to providing comprehensive coordinated care for individuals with complex diseases include the medical home approach, the chronic care model in primary care, and disease-specific, multidisciplinary specialty clinics. There is uneven availability and utilization of multidisciplinary specialty clinics for different genetic diseases. For 2 disorders (ie, hemophilia and cystic fibrosis), effective national networks of specialty clinics exist and reach large proportions of the target populations. For other disorders, notably, sickle cell disease, fewer such centers are available, centers are less likely to be networked, and centers are used less widely. Models of comanagement are essential for promoting ongoing communication and coordination between primary care and subspecialty services, particularly during the transition from pediatric care to adult care. Evaluation of the effectiveness of different models in improving outcomes for individuals with genetic diseases is essential.
authors.affiliation: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
authors.forename: Scott D
authors.initials: SD
authors.lastname: Grosse
authors.forename: Michael S
authors.initials: MS
authors.lastname: Schechter
authors.forename: Roshni
authors.initials: R
authors.lastname: Kulkarni
authors.forename: Michele A
authors.initials: MA
authors.lastname: Lloyd-Puryear
authors.forename: Bonnie
authors.initials: B
authors.lastname: Strickland
authors.forename: Edwin
authors.initials: E
authors.lastname: Trevathan
mesh_terms: D003191:Comprehensive Health Care / Q000379:methods*; D030342:Genetic Diseases, Inborn / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D033183:Interdisciplinary Communication; D008957:Models, Genetic; D014481:United States / Q000453:epidemiology