Suboptimal breastfeeding in the United States: Maternal and
pediatric health outcomes and costs.
In the first study ever to combine maternal and
pediatric health outcomes from breastfeeding in a single model, Harvard researcher Dr. Melissa Bartick and colleagues published a new study showing that most of the impact from optimal breastfeeding the US in on maternal health.
Not exact matches
Using data from the
Pediatric Health Information System database, a large, regionally diverse system, the researchers examined racial disparities in the treatment and
outcomes of hospitalized white and black
pediatric patients with moderate to severe Crohn's disease.
«While racial disparities in surgical
outcomes have been reported in adult
health care, less is known about possible disparities in
pediatric surgery,» said first author David I. Chu, M.D., a fellow in
Pediatric Urology at The Children's Hospital of Philadelphia (CHOP).
A collaborative care management model in
pediatric practice (DOCC) enhanced access to and completion of behavioral
health services, child and parental
outcomes, consumer satisfaction, and provider practices, relative to EUC.
In a recent policy statement, «The Future of Pediatrics: Mental
Health Competencies for Pediatric Primary Care,» the American Academy of Pediatrics (AAP) also recognized the unique advantage of the primary care clinician for surveillance, screening, and working with families to improve mental health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered pediatric
Health Competencies for
Pediatric Primary Care,» the American Academy of Pediatrics (AAP) also recognized the unique advantage of the primary care clinician for surveillance, screening, and working with families to improve mental
health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered pediatric
health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered
pediatric care.
Reducing rates of maltreatment, supporting struggling families and improving
pediatric and adult
outcomes for victims requires community - wide strategies, with true collaboration between child welfare, judicial, education,
health and mental
health colleagues to advocate for programs that are adequately tested and shown to be effective.
If the home visiting programs and
pediatric community can work collaboratively to address the
outcomes desired, our communities, families, and society have the opportunity for improved public
health for all.
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.
The intent of this review was to provide a framework for conceptualizing
pediatric service provision in terms of specific developmental
health care
outcomes and to explore whether the current evidence base supports this kind of approach for evaluating
health services intended to promote optimal development or prevent developmental morbidity.
Summary: (To include comparison groups,
outcomes, measures, notable limitations) The study examined the effectiveness of collaborative - care, cognitive - behavioral therapy (CBT) program adjunctive to selective serotonin reuptake inhibitor (SSRI) treatment in
health maintenance organization (HMO)
pediatric primary care.
Prior research has established the influence of maternal depression on the child's behavioral and emotional
health3, 27,28 and its relevance for
pediatric practice.29, 30 Several studies have analyzed the independent effects on children of mothers» and fathers» mental
health, but few have examined the more clinically relevant question of how the mental
health of parents jointly influences child
outcomes.16, 31,32 The largest study of the joint effects of mothers» and fathers» mental
health on children was a population - based study of twins and their parents.16 Similar to our results, the combination of maternal and paternal depression was associated with the largest increase in children's depressive symptoms.
In addition, in areas of particular interest to
pediatric psychologists, such as regimen adherence behavior in youth with chronic conditions, numerous studies have recommended that parents maintain a high level of oversight of youth, in order to ensure optimal regimen adherence and good
health outcomes (Silverstein et al., 2005).
The broader empirical
pediatric psychology literature has also found few links between overcontrol, overinvolvement, or overprotection and poor child adjustment or
health outcomes to date (Berg et al., 2007; Mullins et al., 2004; Wiebe et al., 2005) and in fact overcontrol has been shown to serve as a protective factor in certain contexts (Tolou - Shams, Paikoff, McKirnan, & Holmbeck, 2007).