Integrated Decision-Making in Pediatric Care: A Multidisciplinary Approach to Medical and Surgical Management
DOI:
https://doi.org/10.64784/158Palavras-chave:
integrated pediatric care, pediatric surgery, medical decision-making, multidisciplinary care, perioperative management, minimally invasive surgery, pediatric outcomes, clinical integration, pediatric healthcare systemsResumo
Integrated pediatric care has emerged as a critical approach to improving clinical outcomes by bridging the gap between medical management and surgical decision-making. This review analyzes current evidence (2020–2025) on interdisciplinary pediatric care, focusing on its impact across multiple clinical domains, including neonatal surgery, trauma, minimally invasive procedures, oncology, and critical care. A structured narrative methodology was employed, incorporating 20 high-impact studies from international databases. The findings demonstrate that higher levels of integration—particularly those involving coordinated, real-time collaboration and standardized clinical pathways—are consistently associated with reduced morbidity, lower complication rates, shorter hospital stays, and improved recovery. The analysis also highlights the central role of perioperative care as a connecting element between medical and surgical practices. Variability in implementation was observed across healthcare systems, with high-income countries showing more structured integration, while middle-income regions such as Mexico, Colombia, and Ecuador are progressing toward adaptable models despite systemic challenges. Overall, the evidence supports integrated pediatric care as a comprehensive, patient-centered framework that enhances clinical effectiveness and healthcare efficiency.
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