Study settingÂ
This study was performed within the Division of Pulmonary and Sleep
Medicine at CHOP, which consists of a care network in an urban
environment composed of a tertiary care hospital and ambulatory
pediatric subspecialty care centers located within the main campus in
the city of Philadelphia as well as subspecialty care centers throughout
the Greater Philadelphia area and New Jersey suburbs. The practice
includes general pediatric pulmonary medicine as well as subspecialty
programs in aerodigestive medicine, asthma, bronchopulmonary dysplasia,
cystic fibrosis, lung transplantation, interstitial lung disease,
primary ciliary dyskinesia, sickle cell disease, sleep medicine, and
technology dependent children. The division’s healthcare providers
included 29 pediatric pulmonologists (11 of whom also practice sleep
medicine), 7 advanced practice providers, 5 psychologists (all from the
sleep medicine program), 7 pulmonary fellows, and a team of registered
nurses, social workers, dietitians, respiratory therapists, and medical
assistants.