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At least 73 records · Page 4Linked to original sources
PubMed2005

Child health care centres: an academic model for comprehensive child health care in the community.

The challenge of the discipline of paediatrics in the 21st century is to promote health and development of children in a way that will enable them to maximize their biological and social potential. The community child health centre (CHC) in Israel is a model of community health care service built to provide comprehensive health care to children and adolescents, as well as an academic setting for under- and postgraduate paediatric training. Today there are 34 CHCs in Israel, serving a population of 220 000 children from birth to 18 years of age. The CHC combines the advantages of group practice with those of an academic medical centre and enables flexibility and mutual learning. Further expansion and development are required to realize the CHC's mission of a true comprehensive academic centre for paediatric community health.

Adolescent↗
PubMed2000

[Socioeconomic status and child health: the experience of the Paris Child Health Checkup Center].

UNLABELLED: Data on disadvantaged children's health are rare in France. The objectives of this study were to compare the frequency of various health problems according to socioeconomic status and to determine if socially vulnerable children benefit from health checkups more than others. PATIENTS AND METHODS: This cross-sectional study was conducted in 5,733 children who underwent a health checkup in Paris between September and December 1998. Three groups were defined according to family income estimation and status: socially vulnerable, at risk of vulnerability, and standard. RESULTS: Health status of socially vulnerable children is characterized by a higher prevalence of significant overweight (1.2% versus 0.3% in children at risk of vulnerability and 0.4% in the standard group), iron deficiency (25.7% by age ten months versus 16.2% and 10.4%, respectively), and cavities (20.6% by age four years versus 15.6% and 6.4%, respectively). Ametropia are more frequent in children from socially vulnerable or at risk of vulnerability groups, but not often corrected. These children present more psychomotor disorders than the others. Following checkups, management of observed health problems is identical in the three groups. CONCLUSION: Prevalence of studied troubles is higher in children living in low socioeconomic condition. Following checkups, these children have access to health care services in most cases. Long-term evaluation of the benefit of such health examinations should be performed.

Child↗
PubMed1977

Costs of educating child health associates.

Child health associates can be fully prepared to competently diagnose and treat 90% of ambulatory pediatric patients five years after completion of high school at a cost of approximately one-fourth the expense of educating a pediatrician to perform the same tasks and functions. A rational health planning policy should include the extensive utilization of child health associates as primary health care providers for children.

Costs and Cost Analysis↗
PubMed2006

[International child health].

International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development.

Child↗
PubMed2003

Reliability and validity of the swedish version of child health questionnaire.

Child Health Questionnaire (CHQ) is a North American self-administered instrument to assess physical and psychosocial health status for children (CHQ-CF) and their parents (CHQ-PF). We have determined reliability and validity of the CHQ on 45 children with JCA, who were treated as outpatients. Reliability (Cronbach's alpha) ranged between .86 and .94 for the dimensions of the CHQ-CF and between .69 and .94 for the CHQ-PF. Significant correlations (p<.01) were obtained between 7 of the CHQ dimensions and the Child Health Assessment Questionnaire (CHAQ) categories, and were particularly strong in the physical domain. Evidence of validity was found through significant correlations (p<0.01) between the CHQ and disease variables. Correlations between parents' and children's responses ranged between .366 and .786. CHQ was found to be valid and reliable for children with JCA and their parents. It seems particularly important to recommend that the children themselves are asked about their perceptions of health status and quality of life.

Adolescent↗
PubMed1999

Pediatrician-led community child health initiatives: case summaries from the evaluation of the community access to child health program.

OBJECTIVES: Case study investigations of projects identified with the Community Access to Child Health (CATCH) Program were conducted to illustrate the range of achievements of CATCH and to identify those elements related to successful or unsuccessful implementation. METHODS: We developed a purposive sample of 12 projects, selected based on time of initiation (1989-1995), level of intensity of involvement in CATCH, project locus (statewide or local), nature of program service(s), project setting, and target population(s). Two investigators spent approximately 1.5 days at each site using a preestablished case study guide that included document review and multiple in-person interviews. A total of 171 interviews were conducted with project leadership and staff, community and institutional partners, and public health officials. In seven communities, we also met with individuals receiving project services (consumers). RESULTS AND CONCLUSIONS: The premise of CATCH that with information, support, and tools, pediatricians can be agents of change in their communities was confirmed. The CATCH pediatricians with whom we met capitalize on their status in the community as physicians, their expertise, and their programmatic and political connections to create opportunities to expand and improve health and social services for children. The specific leadership of these pediatricians is often key in overcoming political and cultural barriers to implement system changes. CATCH was and continues to be an effective program strategy for stimulating and enhancing community-based child health initiatives.

Adolescent↗