Guidelines for Home Care of Infants, Children, and Adolescents With Chronic Disease

Home health care programs for infants, children, or adolescents with chronic disease may offer the advantages of supporting the child's growth and development in a more nurturing family environment without compromising comprehensive health care delivered in a cost-effective manner. Since the number of children with chronic diseases that may be appropriate for home care is increasing (eg, technology-dependent children, children with human immunodeficiency virus infection), this issue affects all pediatricians. Careful analysis, shared experience, and future controlled studies will help support the appropriateness and cost-effectiveness of home health care programs in the care of patients with chronic disease. The central role of the family in this process must be recognized and continuously supported, with appropriate ongoing assistance as the needs of the child and family change over time.