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«Findings from the current study indicate that mHealth interventions are a promising and potentially effective route for
pediatric health care providers to
use with patients and their family members,» he said.
Use of inhaled nitric oxide (iNO) among
pediatric patients has increased since 2005 and, during a 10 - year time period, mortality rates dropped modestly as the therapeutic approach was applied to a broader range of
health ailments, according to an observational analysis presented Feb. 26, 2018 during the 47th Critical
Care Congress.
The report also explains the assessment that the organization
uses to address the biggest
health challenges facing its service area, including cancer, adult diabetes, trauma
care and violence prevention, sexually transmitted infections, and
pediatric obesity and asthma.
These are outpatient services, emergency services, hospitalization, maternity and newborn
care, mental
health and substance
use disorder services, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services such as cancer screening and
pediatric services.
A growing evidence base confirms that PTGs are cost - effective in reducing children's disruptive behaviors, 44,45 and offering them in
pediatric practices
using trained practice staff represents a critical opportunity to provide access to effective mental
health care to a wide population.
For parenting practices, we
used established scales of nurturing behavior15 and parenting sense of competence.16 We developed and
used a brief measure of self - efficacy for
pediatric health care (Table 1).
This study is a retrospective analysis of the cumulative impact of LOS and cost of
pediatric readmissions on
health care resource
use conducted by
using the NRD.
EIP showed favorable impacts on 8 outcomes, including fewer days and episodes of hospitalization, relative to those in the comparison group, covering a range of 6 weeks to 2 years postpartum.13, 23,24 EIP also showed a favorable effect on the percentage of children who were adequately immunized by 1 year, but the difference was no longer statistically significant by 2 years.13, 24 Early Start demonstrated favorable effects on 3 outcomes, including percentage who received well - child visits and dental service.25 — 27 HFA had favorable results for 4
health care outcomes, such as the number of well - child visits and whether the child had
health insurance.28 — 31 HFA had an unfavorable effect on the number of
pediatric emergency department (ED) visits.32 The research showed that Healthy Steps had a beneficial effect on 2 outcomes: 1 - month well - child visits and diphtheria toxoid, tetanus toxoid, and pertussis vaccinations.33 Finally, NFP had favorable results on 3 outcomes measuring the number of ED visits at different follow - ups but an unfavorable / ambiguous effect on number of days hospitalized between 25 and 50 months.34, 35 The research on 2 programs (Oklahoma's CBFRS and PAT) showed no effects on measures of
health care use or coverage.36 — 40 The research on 5 programs (Child FIRST, EHS, Family Check - Up, HIPPY, and PALS for Infants) did not report
health care coverage or usage outcomes.
Clinical hypnosis, when provided by appropriately trained individuals, is an adjunctive therapy that can be
used by
pediatric health care providers to assist in managing conditions that they are already otherwise licensed to treat.
Numerous Project LAUNCH grantee sites
use «family navigators» or «
health navigators» embedded within
pediatric primary
care practices.
More recently, we (Lavigne et al., 2007) conducted a study comparing a minimal intervention involving bibliotherapy and no therapist contact with a moderately intensive, 12 - session parent training program (Webster - Stratton, 1997)
using two models for linking primary
care to mental
health services: an «office» model in which services were provided by primary
care nurses, and a «referral» model, in which
pediatric psychologists provided treatment.
Children of mothers who are depressed or who have depressive symptoms are at increased risk for developmental delay, 1 behavioral problems, 2 depression, 3 asthma morbidity, 4 and injuries.5 Depressed mothers are less likely to engage in preventive parenting practices6 and are more likely to
use child
health care services.7 Though research initially focused on postpartum depression, it is clear that maternal depressive symptoms often persist after the postpartum period, 8 and this persistence further increases the effect on children's
health.9 As a result, the
pediatric role in identifying and addressing maternal depressive symptoms has received increasing attention.10 - 13
Given that parents play a critical role in children's
health and
pediatric care, a large body of research dating back at least to the 1970's (e.g., Mechanic, 1980) has focused on parental characteristics and behavior to help explain variations in children's
health care use.
Relatively higher
use of outpatient and lower
use of ER services is considered to provide more timely and appropriate
pediatric care, a pattern associated with lower
health risk (Adler & Rehkopf, 2008; Starfield et al., 2005).