Abstract:
:Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access. Claims data were used to compare the cost and utilization of health care before and during program enrollment. Families rated health care quality improved in 43%, unchanged as "excellent" in 50% of cases. The care received was seen as more nearly complete and of higher quality when the provider was based in the hospital or the hospital's community clinics as compared with "private" community pediatricians. Hospitalization decreased, but no decrease in cost was demonstrated. A carefully planned and implemented managed care program can improve patient perception of quality among chronically ill children.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Grossman LK,Rich LN,Michelson S,Hagerty Gdoi
10.1177/000992289903800305subject
Has Abstractpub_date
1999-03-01 00:00:00pages
153-60issue
3eissn
0009-9228issn
1938-2707journal_volume
38pub_type
杂志文章abstract::Bullying is a serious issue for adolescents, with health consequences both at the time of victimization and later on in adulthood. Aggression in the media is an area that has been explored as a contributing factor to bullying behavior. This study aims to determine if the incidence of aggression in popular television s...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815614353
更新日期:2016-10-01 00:00:00
abstract::The authors conducted a chart review of all febrile infants between 28 and 90 days of age who presented to the emergency department (ED) between December 1 and March 31 during 2004-2006. The objectives of the study were to describe the practice patterns of pediatric ED physicians caring for these infants and to determ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809339346
更新日期:2010-04-01 00:00:00
abstract::One hundred and ten full-term newborns were treated with integral phototherapy (IP) in the first week of life for hyperbilirubinemia (peak bilirubin concentration, 19.5 +/- 2.8 mg/dl). IP was provided by an apparatus which irradiated the infants over the entire skin surface with four visible blue light lamps placed ar...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300905
更新日期:1984-09-01 00:00:00
abstract::Central nervous system (CNS) complications of hemolytic-uremic syndrome (HUS) commonly consist of alterations in mental status, seizures, and rarely hemiparesis. The authors report the clinical evolution of left hemiparesis and later choreo-athetoid movements in a patient who sustained a right lacunar infarction as a ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702601106
更新日期:1987-11-01 00:00:00
abstract::Although pediatricians are increasingly aware of the problem of undernutrition in children with neurologic disabilities, many of these children remain poorly nourished despite prolonged attempts at oral feedings. We studied the effects of tube feeding on such children, using either nasogastric (NG) or gastrostomy (GT)...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289403300608
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:To determine which anthropometric measure best correlates with change in fat mass (FM) over time. METHODS:The authors performed a retrospective cohort study of 76 obese patients (mean body mass index [BMI] 38 kg/m(2) and mean age 13 years) presenting to an obesity clinic between 2005 and 2010. For each patie...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812440838
更新日期:2012-07-01 00:00:00
abstract::When dealing with the management of the dying patient and his family, systematic research has been very limited. Understanding the dying child's needs, as well as his family's, is important for approprirate therapy programs. The present study investigated the mother's awareness of her child's expressed and wanted need...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287701600207
更新日期:1977-02-01 00:00:00
abstract::A 4-year-old boy with transient erythroblastopenia of childhood (TEC) presented with papilledema and transient hemiparesis. Upon spontaneous hematologic recovery, the papilledema resolved. It is concluded that TEC, like other forms of anemia, may present with papilledema and even focal neurologic deficit, from which s...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500510
更新日期:1986-05-01 00:00:00
abstract::This article, Part 2 of a five-part series on The Web, Communications Trends, and Children's Health, describes how the Web's "virtual library" lets pediatricians tap into an evergrowing body of resources, including the latest medical information and online Continuing Medical Education. In addition, the Web creates new...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289803700401
更新日期:1998-04-01 00:00:00
abstract::The objective of the study was to examine differences in pediatric resident perceptions and practices related to child mental health conditions in continuity clinic settings with versus without on-site mental health professionals (MHPs). A 20-item questionnaire, based on the American Academy of Pediatrics Periodic Sur...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816681136
更新日期:2017-11-01 00:00:00
abstract::Two infants presented with growth failure and were found to have generalized osteomalacia (rickets) due to phosphate depletion from prolonged administration of an aluminum-containing antacid given for the symptoms of colic. One of the infants developed bilateral proptosis due to craniosynostosis related to the underly...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289503400202
更新日期:1995-02-01 00:00:00
abstract::Three children are presented with dermoid cysts of the posterior fossa, one of the most common locations of dermoid. They were initially diagnosed as having abscesses. Clinical presentations included hydrocephalus and recurrent meningitis. A helpful clue for identification is a bony defect of the skull on plain film o...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992288802701202
更新日期:1988-12-01 00:00:00
abstract::To describe pediatric clinicians' adherence to practice recommendations for obesity prevention and treatment, we conducted a cross-sectional analysis of 227 medical records of 3- to 18-year-old patients (seen from September 2003 to April 2004) and a longitudinal analysis of data from 632 overweight and obese patients ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809346567
更新日期:2010-02-01 00:00:00
abstract::A wide variety of types of pulmonary diseases and respiratory symptoms have been associated with gastroesophageal reflux (GER). Asthma, chronic bronchitis, bronchiectasis, and pulmonary fibrosis have all been linked to GER, but causal mechanisms have been difficult to establish. To characterize pulmonary function abno...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602501101
更新日期:1986-11-01 00:00:00
abstract::This study was undertaken to evaluate trends and toxicity of pediatric methylphenidate exposures; 1993 to 1999 national poison center data were analyzed. There were 12,917 exposures, increasing from 927 in 1993 to 2,445 in 1999. The majority of children during the entire study period experienced no effect (60.3%) or m...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280304200210
更新日期:2003-03-01 00:00:00
abstract::Participants were parents of 1- to 7-year-old children presenting to a pediatric clinic. The intervention was Play Nicely, 2nd edition, a multimedia educational program that teaches childhood aggression management skills. On average, parents viewed 10 to 15 min in clinic. The average age of the 89 participants was 30 ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807302508
更新日期:2007-10-01 00:00:00
abstract::Ninety low socioeconomic adolescent females (aged 16-22 years, means 18.6 years) were screened for rubella immunity using a rubella IgG enzyme immunoassay. Data concerning past immunizations (with documentation, if possible), prior rubella disease, and previous pregnancies were gathered through direct interviews. Resu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400705
更新日期:1985-07-01 00:00:00
abstract::Thrombocytopenia absent radius (TAR) syndrome, associated with small, echogenic kidneys and subsequent end-stage renal disease, was seen in a full-term newborn. In this infant, renal insufficiency may have increased the known risk of bleeding that is associated with TAR syndrome. Renal abnormalities and dysfunction ar...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900309
更新日期:1990-03-01 00:00:00
abstract::Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent ast...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807312184
更新日期:2008-06-01 00:00:00
abstract::The purpose of this study was to examine the immunization beliefs and practices of physicians in our community. A two-page descriptive survey of immunization practices and knowledge of vaccine contraindications was sent to all community physicians on the staff of Children's Hospital Medical Center in Cincinnati, Ohio....
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500205
更新日期:1996-02-01 00:00:00
abstract::Two children with multiple severe disabilities due to brain destruction by neonatal infection had recurrent hypothermia (less than 34 degrees C) with associated thrombocytopenia (less than 50,000), and clinical hemorrhage. They also had milder, less consistent erythroid and myeloid cell line abnormalities. The hypothe...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700703
更新日期:1988-07-01 00:00:00
abstract::Five cases of bacterial epididymo-orchitis are presented. These patients demonstrate three distinct mechanisms of bacterial infection of the intrascrotal structures: epididymo-orchitis as a presentation and a complication of urinary tract infection; epididymo-orchitis associated with sexually transmitted disease; and ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001901206
更新日期:1980-12-01 00:00:00
abstract::Three infants who presented with premature rupture of membranes and neonatal pneumonia caused by organisms belonging to members of the B. fragilis group are reported. In all 3 instances, the organisms were recovered from tracheal aspirates and in 2 from blood cultures as well. Two of the newborns, treated with ampicil...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001900807
更新日期:1980-08-01 00:00:00
abstract::Two children presented with autoimmune alternating hypo- and hyperthyroidism related to the presence of blocking and stimulating thyroid antibodies. It was difficult to control their thyroid function adequately with an appropriate single drug regimen, and both children underwent total thyroidectomy with subsequent sta...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811412583
更新日期:2011-11-01 00:00:00
abstract::A required PL-3 rotation in community pediatrics, including assignments to preschool and school settings, private pediatric offices, and in-hospital responsibilities, is described. A university-affiliated community hospital provides the organizational base for the program. After 14 PL-3 rotations, analysis of program ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000403
更新日期:1981-04-01 00:00:00
abstract::Nationally recommended universal lipid screening (ULS) in children aged 9 to 11 years is low. Little is known about parents' understanding of screening. We conducted a survey exploring parental knowledge and attitudes regarding ULS. Of 91 parent respondents, 81.3% were female, 69.2% were non-Hispanic white, 90.1% had ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820903043
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:This study describes the clinical course, treatment, and outcome of 13 critically ill children due to infection with new influenza A H1N1, admitted to 2 pediatric intensive care units (PICUs) in the northwestern part of the Netherlands. METHODS:Retrospective case series, conducted in 2 PICUs in Amsterdam, th...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1177/0009922810381426
更新日期:2011-01-01 00:00:00
abstract::Five children with pyogenic liver abscess were admitted to Institute of Child Health, Kabul during the period 1978 to 1980. All patients were males, and their ages ranged from 4 to 10 years. The clinical picture was characterized by fever, upper abdominal pain, enlarged tender liver with raised right dome of the diaph...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100204
更新日期:1982-02-01 00:00:00
abstract::Postinfectious gastroparesis (PIGP) is a subgroup of idiopathic gastroparesis rarely reported in adolescents. This study describes 3 adolescent females with severe PIGP, who each underwent extensive workup prior to referral to a pediatric gastroenterologist. PIGP may be an underrecognized disorder in pediatrics, parti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811417857
更新日期:2012-02-01 00:00:00
abstract::Nephrotic syndrome (NS) is one of the most common causes of chronic kidney disease in children. Mostly, NS is controlled by steroids. In spite of this, 10% to 20% of the patients have steroid resistant NS (SRNS), and the rest have steroid sensitive NS (SSNS). Eighty-seven children with NS (66 SSNS; 21SRNS) were retros...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816645521
更新日期:2017-02-01 00:00:00