Sentences with phrase «pediatric population health»

Not exact matches

The study was conducted at Parkland, the public health system for Dallas County, the ninth largest county by population and one of the most ethnically diverse counties in the U.S.. From Parkland's system of 10 neighborhood - based pediatric clinics, researchers identified four clinics with the largest volume of patients aged 11 to 18.

Experts suggest that as survival rates improve, understanding racial and socioeconomic differences in pediatric populations are important factors to consider for overall health status.

There are numerous known health benefits for spay / neuter in cats, in addition to the population management benefits, and there is «no evidence to suggest that pediatric gonadectomy by 5 months of age is linked to any increased risk of disease.»

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.

From an ecological perspective, availability of comprehensive primary care is strongly associated with improved population health.2, 9 The FCMH was initially conceived in pediatrics in the 1960s and 1970s as a model for providing comprehensive pediatric care.10 Over the past 3 decades the medical home model has been further refined, defining the medical home as accessible, continuous, comprehensive, family - centered, coordinated, compassionate, and culturally effective.11, 12 The central goal of the FCMH is to facilitate partnerships between patients, families, clinicians, and community resources to improve children's health, and the joint principles for the FCMH have been widely endorsed.7

Many of the scales demonstrated weak psychometrics in at least one of the following ways: (a) lack of psychometric data [i.e., reliability and / or validity; e.g., HFQ, MASC, PBS, Social Adjustment Scale - Self - Report (SAS - SR) and all perceived self - esteem and self - concept scales], (b) items that fall on more than one subscale (e.g., CBCL - 1991 version), (c) low alpha coefficients (e.g., below.60) for some subscales, which calls into question the utility of using these subscales in research and clinical work (e.g., HFQ, MMPI - A, CBCL - 1991 version, BASC, PSPCSAYC), (d) high correlations between subscales (e.g., PANAS - C), (e) lack of clarity regarding clinically - relevant cut - off scores, yielding high false positive and false negative rates (e.g., CES - D, CDI) and an inability to distinguish between minor (i.e., subclinical) and major (i.e., clinical) «cases» of a disorder (e.g., depression; CDI, BDI), (f) lack of correspondence between items and DSM criteria (e.g., CBCL - 1991 version, CDI, BDI, CES - D, (g) a factor structure that lacks clarity across studies (e.g., PSPCSAYC, CASI; although the factor structure is often difficult to assess in studies of pediatric populations, given the small sample sizes), (h) low inter-rater reliability for interview and observational methods (e.g., CGAS), (i) low correlations between respondents such as child, parent, teacher [e.g., BASC, PSPCSAYC, CSI, FSSC - R, SCARED, Connors Ratings Scales - Revised (CRS - R)-RSB-, (j) the inclusion of somatic or physical symptom items on mental health subscales (e.g., CBCL), which is a problem when conducting studies of children with pediatric physical conditions because physical symptoms may be a feature of the condition rather than an indicator of a mental health problem, (k) high correlations with measures of social desirability, which is particularly problematic for the self - related rating scales and for child - report scales more generally, and (l) content validity problems (e.g., the RCMAS is a measure of anxiety, but contains items that tap mood, attention, peer interactions, and impulsivity).

The need for creative, new strategies to confront these morbidities in a more effective way is essential to improve the physical and mental health of children, as well as the social and economic well - being of the nation.6 Developmental, behavioral, educational, and family problems in childhood can have both lifelong and intergenerational effects.7 — 18 Identifying and addressing these concerns early in life are essential for a healthier population and a more productive workforce.5, 6,19 — 21 Because the early roots or distal precipitants of problems in both learning and health typically lie beyond the walls of the medical office or hospital setting, the boundaries of pediatric concern must move beyond the acute medical care of children and expand into the larger ecology of the community, state, and society.

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.

Patient characteristic items assessed proportion of the physician's practice population that were pediatric, racial / ethnic minorities, unfunded / publicly funded, and had mental health or behavioral presenting problems.