Name
What now? A case report of combined functional and pain disorder in primary care with specialty care barriers
Description

Due to barriers in accessing specialty care, primary care providers and the supporting primary care behavioral health providers can be in the position of managing a complex case while connecting to specialty care. This presentation will use a deidentified case example to demonstrate how the presenters navigated some of the specialty care barriers to treat a patient with a combined functional and pain disorder presentation. Additionally, literature on the barriers to specialty care and other ways to manage these barriers will be reviewed.

Speakers
Mary Shea, PhD
Co-Authors
James Van Buren, MD, University of Kentucky College of Medicine, Lexington, KY
Content Level
Intermediate
Tags
Co-morbidity, Pediatrics, Social determinants of health or SDoH
Session Type
Poster
Objective 1
Describe barriers to specialty care for the pediatrics population.
Objective 2
Identify some ways these barriers to specialty care in pediatrics are being addressed currently.
Objective 3
Discuss using a case example how primary care level providers (medical and behavioral health) can support families while they await specialty care.
Content Reference 1

Barry, K. K., & Hawryluk, E. B. (2022). Access to pediatric dermatology. Current Opinion in Pediatrics, 34(4), 359–366. https://doi.org/10.1097/mop.0000000000001137

Content Reference 2

Creadore, A., Desai, S., Li, S. J., Lee, K. J., Bui, A.-T. N., Villa-Ruiz, C., Lo, K., Zhou, G., Joyce, C., Resneck, J. S., Seiger, K., & Mostaghimi, A. (2021). Insurance acceptance, appointment wait time, and dermatologist access across practice types in the US. JAMA Dermatology, 157(2), 181. https://doi.org/10.1001/jamadermatol.2020.5173

Content Reference 3

Ghandour, R. M., Hirai, A. H. & Kenney, M.K. (2022). Children and Youth With Special Health Care Needs: A Profile. Pediatrics 149 (Supplement 7): e2021056150D. 10.1542/peds.2021-056150D

Content Reference 4

Porto A, Rubin K, Wagner K, Chang W, Macri G, Anderson D.(2021). Impact of Pediatric Electronic Consultations in a Federally Qualified Health Center. Telemedicine and e-Health.27(12):1379-1384. doi:10.1089/tmj.2020.0394

Content Reference 5

Marshall EG, Miller L, Moritz LR. Challenges and impacts from wait times for specialist care identified by primary care providers: Results from the MAAP study cross-sectional survey. Healthcare Management Forum. 2023;36(5):340-346. doi:10.1177/08404704231182671