Ethical Framework for Risk Stratification and Mitigation Programs for Children With Medical Complexity

Pediatrics. 2018 Mar;141(Suppl 3):S250-S258. doi: 10.1542/peds.2017-1284J.


Those in hospitals and health care systems, when designing clinical programs for children with medical complexity, often talk about needing to develop and implement a system of risk stratification. In this article, we use the framework of an ethical evaluation of a health care program to examine what this task of risk stratification might entail by identifying specific and detailed issues that require particular attention and making a series of recommendations to help ensure that programs for children with medical complexity avoid potentially ethically problematic situations and practices.

MeSH terms

  • Child
  • Child Health / economics*
  • Child Health / ethics*
  • Child Health / trends
  • Chronic Disease / economics*
  • Chronic Disease / therapy*
  • Chronic Disease / trends
  • Health Care Costs / ethics
  • Health Care Costs / trends
  • Humans
  • Patient Advocacy / economics
  • Patient Advocacy / ethics
  • Patient Advocacy / trends
  • Risk Assessment / economics*
  • Risk Assessment / trends