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Academic Pediatrics

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https://www.readbyqxmd.com/read/29777782/financial-analysis-of-pediatric-resident-physician-primary-care-longitudinal-outpatient-experience
#1
Carole H Stipelman, Brad Poss, Laura Anne Stetson, Luca Boi, Michael Rogers, Caleb Puzey, Sri Koduri, Robert Kaplan, Vivian S Lee, Edward B Clark
PURPOSE: To determine whether residency training represents a net positive or negative cost to academic medical centers, we analyzed the cost of a residency program and clinical productivity of residents and faculty in outpatient primary care practice with or without residents. METHOD: Patient volume and revenue data (Current Procedural Terminology codes) from an academic primary care general pediatric clinic were evaluated for faculty clinics (faculty only) and resident teaching clinics (Longitudinal Outpatient Experience [LOE]) with 1-4 residents/faculty...
May 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29777781/screen-related-parenting-practices-in-low-income-mexican-american-families
#2
Darcy A Thompson, Sarah J Schmiege, Susan L Johnson, Elizabeth A Vandewater, Richard E Boles, Ruth E Zambrana, Jerusha Lev, Jeanne M Tschann
OBJECTIVES: To (1) examine whether the Information, Motivation, and Behavioral Skills Model predicts maternal screen-related parenting practices and (2) evaluate the relationship of American Academy of Pediatrics(AAP)-recommended parenting practices with child television (TV) use behaviors. METHODS: In this cross-sectional study, 312 Spanish- and/or English-speaking female primary caregivers of Mexican descent with a child 3-5 years of age were recruited from safety-net pediatric clinics...
May 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29730244/family-caregiver-marginalization-is-associated-with-decreased-primary-and-subspecialty-asthma-care-in-head-start-children
#3
S Christy Sadreameli, Kristin A Riekert, Elizabeth C Matsui, Cynthia S Rand, Michelle N Eakin
BACKGROUND: Urban minority children are at risk for poor asthma outcomes and may not receive appropriate primary or subspecialty care. OBJECTIVE: We hypothesized that preschool children with asthma whose caregivers reported more barriers to care would be less likely to have seen their primary care provider (PCP) or an asthma subspecialist and more likely to have had a recent emergency department (ED) visit for asthma. METHODS: The Barriers to Care Questionnaire (BCQ) measures expectations, knowledge, marginalization, pragmatics, and skills...
May 3, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29729425/prenatal-material-hardships-and-infant-regulatory-capacity-at-10-months-old-in-low-income-hispanic-mother-infant-pairs
#4
Anne Fuller, Mary Jo Messito, Alan L Mendelsohn, Suzette O Oyeku, Rachel S Gross
OBJECTIVE: Prenatal maternal stresses have been associated with infant temperament patterns linked to later behavioral difficulties. Material hardships, defined as inability to meet basic needs, are important prenatal stressors. Our objective was to determine the associations between prenatal material hardships and infant temperament at 10 months. METHODS: This was a longitudinal study of mother-infant pairs in a randomized controlled trial of a primary care-based early obesity prevention program (Starting Early)...
May 2, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29709622/adverse-childhood-experiences-and-young-adult-health-outcomes-among-youth-aging-out-of-foster-care
#5
Rebecca Rebbe, Paula S Nurius, Mark E Courtney, Kym R Ahrens
OBJECTIVE: Former youth in foster care (YFC) are at greater risk of chronic health conditions than their peers. Although research in general population samples has demonstrated a dose-response relationship between adverse childhood experiences (ACEs) and adult health outcomes, few studies have conducted similar analyses in highly stress-exposed populations such as YFC. This paper uses person-centered latent class analysis (LCA) methods to examine the relationship between different profiles of ACE exposures and divergent health trajectories amongst this high-risk population...
April 27, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29709621/workforce-trends-and-analysis-of-selected-pediatric-subspecialties-in-the-united-states
#6
Mary E Rimsza, Holly S Ruch-Ross, Conrad J Clemens, William B Moskowitz, Holly J Mulvey
OBJECTIVE: To update pediatric subspecialty workforce data to support evidence-based legislation and public policy decisions by replicating the American Academy of Pediatrics' 1998 Future of Pediatric Education (FOPE II) workforce survey. STUDY DESIGN: A descriptive and comparative analysis of survey responses from 9,950 US pediatric subspecialists who completed an electronic survey. RESULTS: Pediatric subspecialists are working fewer hours and spending less of their time in direct patient care than they did in 1998 but the mean hours worked differs significantly by subspecialty...
April 27, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29704999/early-childhood-media-exposure-and-self-regulation-bi-directional-longitudinal-associations
#7
Dylan P Cliff, Steven J Howard, Jenny S Radesky, Jade McNeill, Stewart A Vella
OBJECTIVE: To investigate: i) prospective associations between media exposure (television viewing, computers, and electronic games) at 2 years and self-regulation at 4 and 6 years, and ii) bi-directional associations between media exposure and self-regulation at 4 and 6 years. We hypothesized that media exposure and self-regulation would display a negative prospective association and subsequent bi-directional inverse associations. METHODS: Data from the nationally-representative Longitudinal Study of Australian Children (LSAC) when children were aged 2 (n=2786) and 4/6 years (n=3527) were used...
April 26, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29704651/pediatric-program-director-minimum-milestone-expectations-before-allowing-supervision-of-others-and-unsupervised-practice
#8
Su-Ting T Li, Daniel J Tancredi, Alan Schwartz, Ann Guillot, Ann E Burke, R Franklin Trimm, Susan Guralnick, John D Mahan, Kimberly Gifford
BACKGROUND: The Accreditation Council for Graduate Medical Education requires semiannual Milestone reporting on all residents. Milestone expectations of performance are unknown. OBJECTIVE: Determine pediatric program director (PD) minimum Milestone expectations for residents prior to being ready to supervise and prior to being ready to graduate. METHODS: Mixed methods survey of pediatric PDs on their programs' Milestone expectations before residents are ready to supervise and before they are ready to graduate, and in what ways PDs use Milestones to make supervision and graduation decisions...
April 25, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29704650/quality-of-care-for-children-with-medical-complexity-an-analysis-of-continuity-of-care-as-a-potential-quality-indicator
#9
Kimberly C Arthur, Rita Mangione-Smith, Q Burkhart, Layla Parast, Hangsheng Liu, Marc N Elliott, Elizabeth A McGlynn, Eric C Schneider
OBJECTIVE: To examine the relationship between continuity of care for children with medical complexity (CMC) and emergency department (ED) utilization, care coordination quality, and family impact related to care coordination. METHODS: We measured ED utilization and primary care continuity with the Bice-Boxerman continuity of care index for 1477 CMC using administrative data from Minnesota and Washington state Medicaid agencies. For a subset of 186 of these CMC a caregiver survey was used to measure care coordination quality (using items adapted from the Consumer Assessment of Healthcare Providers and System (CAHPS©) Adult Health Plan Survey) and family impact (using items adapted from the National Survey of Children with Special Health Care Needs)...
April 25, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29684581/modernizing-training-on-social-determinants-of-health-a-virtual-tour-of-an-impoverished-neighborhood-proves-non-inferior-to-an-in-person-experience
#10
Margot A Lazow, Francis J Real, Nicholas J Ollberding, David Davis, Bradley Cruse, Melissa D Klein
No abstract text is available yet for this article.
April 20, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29678594/knowledge-and-attitudes-regarding-category-b-acip-recommendations-among-primary-care-providers-for-children
#11
Allison Kempe, Mandy A Allison, Jessica R MacNeil, Sean T O'Leary, Lori A Crane, Brenda L Beaty, Laura P Hurley, Michaela Brtnikova, Megan C Lindley, Jennifer L Liang, Alison P Albert, Jean C Smith
OBJECTIVE: In 2015, the Advisory Committee on Immunization Practices (ACIP) made a category B recommendation for use of serogroup B meningococcal (MenB) vaccines, meaning individual clinical decision-making should guide recommendations. This was the first use of a category B recommendation pertaining to a large population and the first such recommendation for adolescents. As part of a survey regarding MenB vaccine, our objectives were to assess among pediatricians (Peds) and family physicians (FPs) nationally: 1) knowledge of the meaning of category A versus B recommendations and insurance coverage implications; and 2) attitudes about category A and B recommendations...
April 17, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29673883/constipation-related-emergency-department-use-and-associated-office-visits-and-payments-among-commercially-insured-children
#12
Claire A MacGeorge, Kit N Simpson, William T Basco, David G Bundy
OBJECTIVE: Pediatric constipation is common, costly and often managed in the Emergency Department (ED). The objectives of this study were to determine the frequency of constipation-related ED visits in a large commercially insured population, the frequency of an office visit in the month before and after these visits, demographics associated with these office visits and the ED-associated payments. METHODS: Data were extracted from the Truven MarketScan® database for commercially insured children from 2012-2013...
April 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29673882/an-urgent-call-to-action-building-a-better-america-and-world-by-prioritizing-children-s-health-healthcare-and-well-being
#13
Glenn Flores
No abstract text is available yet for this article.
April 16, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29654906/us-pediatricians-attitudes-regarding-public-policies-for-low-income-children-and-their-profession-s-advocacy-priorities
#14
Steven G Federico, William Cull, Lynn Olson, Arvin Garg, Andrew D Racine, Amanda Fisher, Benard Dreyer
OBJECTIVE: To examine pediatricians' attitudes towards public policies for low-income children and the advocacy efforts for the American Academy of Pediatrics (AAP). METHODS: Data from the AAP Periodic Survey in October 2014-March 2015 were used. Respondents ranked 1) Attitudes toward government programs, and 2) Attitudes toward AAP policies on: income support, housing, education, job training, food, and healthcare. Results were analyzed by age, gender, practice location, practice region, type of practice setting, and percent of patients with economic hardship...
April 11, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29654905/family-functioning-and-childhood-obesity-treatment-a-family-systems-theory-informed-approach
#15
REVIEW
Keeley J Pratt, Joseph A Skelton
Childhood obesity recommendations advise providers to utilize family-based care for the treatment of youth and adolescent obesity. Family-based care, defined as the inclusion of a caregiver and a youth, is commonly conducted through behavioral interventions that target the dietary and physical activity behaviors of the attending parent-youth dyads. However, focusing on behaviors isolated to the parent and youth neglects the rest of the family members, and the larger rules, routines, communication, and dynamics in the family...
April 11, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29653256/impact-of-presence-of-children-on-indoor-tobacco-restrictions-in-households-of-urban-and-rural-adult-tobacco-users
#16
Benjamin T Kopp, Alice Hinton, Rong Lu, Sarah Cooper, Haikady Nagaraja, Mary Ellen Wewers
OBJECTIVES: Secondhand smoke exposure (SHSe) in children is changing due to new public policy and electronic nicotine products (e-cigarettes). We examined factors related to self-imposed indoor household tobacco restrictions, with emphasis on children in the household and associations with combustible and non-combustible product use. METHODS: A cross-sectional survey of urban and rural Ohio adult tobacco users classified participants as exclusive combustible users, smokeless tobacco (SLT) users, e-cigarette users, or dual users...
April 10, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29653255/promoting-father-involvement-for-child-and-family-health
#17
REVIEW
Brandon S Allport, Sara Johnson, Anushka Aqil, Alain B Labrique, Timothy Nelson, Angela Kc, Yorghos Carabas, Arik V Marcell
Paternal involvement in children's lives is associated with a variety of child outcomes, from improved cognition and mental health to reduced obesity rates and asthma exacerbations. Given this evidence, the American Academy of Pediatrics has promoted actions by pediatricians to engage fathers in pediatric care. Despite these recommendations, the mother-child dyad remains a frequent focus of care, rather than the mother-father-child triad. Furthermore, pediatric care is often leveraged to improve maternal health, such as screening for maternal depression, but paternal health is infrequently addressed even as men tend to exhibit riskier behaviors, poorer primary care utilization, and lower life expectancy...
April 10, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29625232/shared-care-using-an-electronic-consult-form-to-facilitate-pcp-specialty-care-coordination
#18
Corinna J Rea, Larissa M Wenren, Katherine D Tran, Eric Zwemer, Daniel Mallon, Miya Bernson-Leung, Ronald C Samuels, Sara L Toomey
OBJECTIVE: The quality of children's health is compromised by poor care coordination between primary care providers (PCPs) and specialists. Our objective was to determine how an electronic consultation and referral system impacts referral patterns and PCP-specialist communication. METHODS: The primary care clinic at Boston Children's Hospital piloted an electronic referral and consultation system with the Neurology and Gastroenterology departments from 4/1/14-10/31/16...
April 3, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29604461/assessing-potential-confounding-and-misclassification-bias-when-studying-the-safety-of-the-childhood-immunization-schedule
#19
Matthew F Daley, Jo Ann Shoup, Sophia R Newcomer, Michael L Jackson, Holly C Groom, Steven J Jacobsen, Huong Q McLean, Nicola P Klein, Eric S Weintraub, Michael M McNeil, Jason M Glanz
OBJECTIVES: Some parents are concerned the childhood immunization schedule could increase risk for allergic disorders, including asthma. To inform future safety studies of this speculated association, a parent survey was conducted to: 1) examine risk of misclassification of vaccination status in electronic health record (EHR) data; and 2) assess potential for confounding if asthma risk factors varied by vaccination status. METHODS: A survey was conducted among parents of children 19-35 months old at 6 medical organizations within the Vaccine Safety Datalink...
March 28, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29604460/landscape-analysis-of-global-health-tracks-in-us-pediatric-residencies-moving-towards-standards
#20
Jennifer Watts, Christiana Russ, Nicole E St Clair, Omolara Thomas Uwemedimo
OBJECTIVE: The number of pediatric Global Health (GH) Tracks has more than doubled in less than ten years. The goal of this study was to describe the characteristics of the pediatric GH Tracks to identify commonalities and differences in track structure, funding and education. In addition, we also identified demographic, institutional or residency-related factors that were significantly associated with educational offerings and logistical challenges. METHODS: A cross-sectional survey was electronically administered to pediatric residency programs with GH Tracks...
March 28, 2018: Academic Pediatrics
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