Mary Arakelyan

Predominant Clinicians and Care Settings for Young Military-Connected Children with Medical Complexity

Dana N. Joseph, Jackielyn Lanning, Mary Arakelyan, Celeste J. Romano et autres

OBJECTIVE: Military-connected children with medical complexity (CMC) have multifaceted healthcare needs. This study describes the share of ambulatory care delivered to young military-connected CMC within civilian and military health facilities, identifies the predominant clinician providing care, and identifies factors associated with having …

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Disease Chronicity and Mortality in Young Military-Connected Children With Medical Complexity

JoAnna K. Leyenaar, Jackielyn Lanning, Mary Arakelyan, Celeste J. Romano et autres

OBJECTIVE Although health conditions experienced by children with medical complexity (CMC) are often conceptualized as chronic or lifelong, rapid development during early childhood can result in changing health status. This is particularly relevant for military-connected children, who may experience challenges with health …

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Rural–urban disparities in primary care and geographic continuity of care for children with medical complexity

Mary Arakelyan, Andrew P. Schaefer, Seneca D. Freyleue, Erika L. Moen et autres

PURPOSE: Rural-residing children with medical complexity (CMC) may receive fragmented care given clinician shortages in rural communities. This study characterized differences in continuity of care between rural- and urban-residing CMC, applying novel measures of geographic care continuity and assessing associations between continuity, …

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Rural-Urban Differences in Emergency Department Choice for Children With Medical Complexity, 2012-2017

Seneca D. Freyleue, Mary Arakelyan, Andrew Schaefer, Erika L. Moen et autres

OBJECTIVE: Children with medical complexity (CMC) may bypass emergency departments (EDs) close to home to seek care at hospitals with more specialized pediatric services. However, few studies have examined ED choice for CMC or how this differs by rurality. This work describes …

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Hospitalizations by Children With Medical Complexity From 2009 to 2022

JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, Andrew Schaefer

BACKGROUND AND OBJECTIVES: Children with medical complexity (CMC) have multifaceted health care needs and are more likely to be hospitalized than children without medical complexity. This study examined the number and proportion of hospitalizations experienced by CMC in the United States from …

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Sex-Based Differences in Pediatric Mental Health Hospitalizations at US Acute Care Hospitals

JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, Andrew Schaefer et autres

This study examines sex-based differences in pediatric mental health hospitalizations and the change in hospitalization numbers over time.

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Comparative Effectiveness of Direct Admission and Admission Through Emergency Departments for Children

JoAnna K. Leyenaar, Stephanie C. Acquilano, Jordan Taylor, Seneca D. Freyleue et autres

What was the research about?When admitted to the hospital, children usually go through the emergency room, or ER.But wait times in the ER can be long.Also, doctors in the ER don't know a child's health history as well as their primary care …

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Rural-Urban Differences in Patient-Sharing by Clinicians Caring for Children with Medical Complexity: Network Analysis of the Pediatric Workforce in Three States

Erika L. Moen, Seneca D. Freyleue, Mary Arakelyan, Andrew Schaefer et autres

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93.4 I-CARE: Feasibility, Acceptability, and Appropriateness of a Digital Health Intervention for Youth Experiencing Mental Health Boarding

Mary Arakelyan

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Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity

JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, Andrew Schaefer et autres

Importance: Limited availability of inpatient pediatric services in rural regions has raised concerns about access, safety, and quality of hospital-based care for children. This may be particularly important for children with medical complexity (CMC). Objectives: To describe differences in the availability of …

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Neurodevelopmental and Mental Health Conditions in Children With Medical Complexity

JoAnna K. Leyenaar, Mary Arakelyan, Andrew Schaefer, Seneca D. Freyleue et autres

BACKGROUND AND OBJECTIVES: Children with medical complexity (CMC) may be at a high risk of neurodevelopmental and mental health conditions given disease comorbidities and lived experiences. Little is known about the prevalence of these conditions at a population level. In this study, …

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Human-Centered Design to Improve Care for Youths Experiencing Psychiatric Boarding

Samantha A. House, Mary Arakelyan, Stephanie C. Acquilano, Leigh Roche et autres

The number of children and adolescents presenting to hospitals with mental health conditions has increased markedly over the past decade. A dearth of pediatric mental health resources prevents delivering definitive psychiatric care to this population at many hospitals; thus, children and adolescents …

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