Health Care for Children in Immigrant Families
One in four US children is a child in an immigrant family. Children in immigrant families (CIF) have distinct health and health care needs that vary by documentation status, countries of origin, and health care and community experience caring for immigrant populations. Health insurance access and language services are fundamental to providing health care to CIF. Promoting health equity for CIF requires a comprehensive approach to both the health and social determinants of health needs of CIF. Child health providers can promote health equity for this population through tailored primary care services and partnerships with im...
Source: Pediatric Clinics of North America - May 22, 2023 Category: Pediatrics Authors: Keith J. Martin, Sarah Polk, Janine Young, Lisa Ross DeCamp Source Type: research
Health Care Anchors ’ Responsibilities and Approaches to Achieving Child Health Equity
This article provides an overview of the anchor institution concept, recommended strategies for embracing an anchor mission, and the challenges that can arise in the process. An anchor mission centers on advocacy, social justice, and health equity. Hospitals and health systems are anchor institutions that are uniquely positioned to utilize their economic and intellectual resources in partnership with communities to mutually benefit the long-term well-being of both. Anchor institutions have a responsibility to invest in the education and development of their leaders, staff, and clinicians in health equity, diversity, inclus...
Source: Pediatric Clinics of North America - May 22, 2023 Category: Pediatrics Authors: Desiree Yeboah, Alicia Tieder, Ashley Durkin, Leslie R. Walker-Harding Source Type: research
Clarity on Disparity
This article offers a framework of who, what, when, where, why, and how of health disparities that can serve as a systematic approach to move from description to understanding causes and taking action to ensure health equity. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - May 12, 2023 Category: Pediatrics Authors: Tina L. Cheng, Kamila B. Mistry Source Type: research
Addressing Health Literacy in Pediatric Practice
Low health literacy has been linked to worse child health-related knowledge, behaviors, and outcomes across multiple health domains. As low health literacy is highly prevalent and an important mediator of income- and race/ethnicity-associated disparities, provider adoption of health literacy best practices advances health equity. A multidisciplinary effort involving all providers engaged in communication with families should include a universal precautions approach, with clear communication strategies employed with all patients, and advocacy for health system change. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - May 12, 2023 Category: Pediatrics Authors: Tiffany A. Stewart, Eliana M. Perrin, Hsiang Shonna Yin Source Type: research
Pursuing a Cross-Sector Approach to Advance Child Health Equity
Cross-sector partnerships are essential to ensure a safe and effective system of care for children, their caregivers, and communities. A “system of care” should have a well-defined population, vision, and measures shared by health care and community stakeholders, and an efficient modality for tracking progress toward better, more equitable outcomes. Effective partnerships could be clinically integrated, built atop coordinated awa reness and assistance, and community-connected opportunities for networked learning. As opportunities for partnership continue to be uncovered, it will be vital to broadly assess their impact,...
Source: Pediatric Clinics of North America - May 12, 2023 Category: Pediatrics Authors: Alexandra M.S. Corley, Adrienne W. Henize, Melissa D. Klein, Andrew F. Beck Source Type: research
Climate Change and Child Health Equity
The climate crisis is a major public health threat for children, disproportionately affecting the most vulnerable populations. Climate change causes a myriad of health issues for children, including respiratory illness, heat stress, infectious disease, the effects of weather-related disasters, and psychological sequelae. Pediatric clinicians must identify and address these issues in the clinical setting. Strong advocacy from pediatric clinicians is needed to help prevent the worst effects of the climate crisis and to support the elimination of use of fossil fuels and enactment of climate-friendly policies. (Source: Pediatr...
Source: Pediatric Clinics of North America - May 12, 2023 Category: Pediatrics Authors: Katherine C. Budolfson, Ruth A. Etzel Source Type: research
Pediatric Primary-Care Integrated Behavioral Health
Nearly half of US children and adolescents will suffer a behavioral health (BH) disorder, with substantially higher rates among more disadvantaged children such as racial/ethnic minorities, LGBTQ + youth, and poor children. The current specialty pediatric BH workforce is inadequate to meet the need and the uneven distribution of specialists as well as other barriers to care, such as insurance coverage and systemic racism/bias, further exacerbate disparities in BH care and outcomes. Integr ating BH care into the pediatric primary care medical home has the potential to expand access to BH care and reduce the disparities i...
Source: Pediatric Clinics of North America - May 12, 2023 Category: Pediatrics Authors: Maria J. Arrojo, Jonas Bromberg, Heather J. Walter, Louis Vernacchio Source Type: research
Functional Impairment in Pediatric Cancer Survivorship
Care for pediatric cancer survivors must include scheduled, thorough evaluations of potential chronic and late effects resulting from multidimensional cancer treatments. Assessment of functional independence with activities and participation is critical in assuring that survivors can optimally access their environments and pursue educational, occupational, and leisure activities appropriate to their interests and capabilities. Owing to their expertise in both rehabilitation and habilitation, pediatric physiatrists are of great benefit in the care of survivors of pediatric cancer. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Authors: David W. Pruitt, Matthew T. Haas, Priya D. Bolikal Source Type: research
Pediatric Functional Neurologic Disorders
Functional neurologic disorders are common in the pediatric population. Recently, there has been a renewed focus on functional neurologic disorders, leading to improvements in diagnosis and management. This review focuses on updates in clinical presentation, diagnosis, pathophysiology (including neuroimaging), and treatment of functional neurologic disorders in the pediatric population. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Authors: Angela Garcia Source Type: research
Disability Justice and Anti-ableism for the Pediatric Clinician
The impact of ableism on health care, and specifically the health of people with disabilities, is not only underrecognized, but misunderstood at a foundational level due to socially acceptable denial of anti-disability bias. For the pediatrician that seeks to learn about the value of anti-ableist approaches to health care and how it can promote child health, this article reviews the relationship between medical jargon and anti-disability bias, and provides a primer on disability justice, the medical versus social models of disability, and other scholarly concepts related to anti-ableism. The authors provide narrative examp...
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Authors: Christopher D. Lunsford, Marion Quirici Source Type: research
Focus on Functioning: The Field of Pediatric Rehabilitation Medicine
We are honored to be invited to edit the first issue of Pediatric Clinics of North America dedicated to the field of Pediatric Rehabilitation Medicine (PRM). PRM is one of the youngest pediatric subspecialities, and many pediatricians have not yet had an opportunity to collaborate with members of our field. We hope this historic issue will provide valuable insights as to how PRM can partner with pediatricians to improve the function and lives of children with disabilities and their families in our care. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Authors: Mary McMahon, Amy Houtrow Tags: Preface Source Type: research
Pediatric Rehabilitation Medicine: It ’s Go Time
Physical Medicine and Rehabilitation (PM&R), also called physiatry, has been practiced for centuries. Historically, patients with disabilities were treated with light, thermotherapy, manipulation, massage, instrumentation, movement, and other modalities.1 In ancient China, movement was thought to promote health. Believing in the afterlife, Egyptians crafted devices for mummies. Canes were discovered in the tomb of Tutankhamun, confirming that the pharaoh suffered from clubfoot.1 (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Authors: Tina L. Cheng Tags: Foreword Source Type: research
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Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Source Type: research
Pediatric Rehabilitation
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Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Authors: Mary McMahon, Amy Houtrow Source Type: research
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Source: Pediatric Clinics of North America - April 29, 2023 Category: Pediatrics Source Type: research
