Allocation of health care resources in the neonatal and perinatal area -CPS Symposium 1996.

Abstract:

:There have been publically expressed concerns about the costs and allocation of neonatal and perinatal health care resources in Canada and elsewhere for the past 15 years. This paper reports information from a symposium held during the 1996 Canadian Paediatric Society (CPS) annual meeting sponsored by the CPS Section on Perinatal Medicine. Experts in perinatal epidemiology, health care economics, public policy and finance, and consumer perspectives on the outcomes of neonatal and perinatal intensive care explored the following questions: How should the need for health care resources in the neonatal and perinatal area be objectively determined? When there are competing needs between the maternal-newborn area and other areas, how should these be rationalized? What evidence should be used (or should be available) to support the present use of resources? What evidence should be available (or is needed) to change or introduce new uses of resources? The conclusions indicated that there are no generally accepted methods to determine the allocation of health care resources but that considerations need to include population characteristics, desired outcomes, achievable results, values, ethics, legalities, cost-benefit analyses and political objectives. Information from families and adolescents who required the use of high technology and/or high cost programs will contribute individual, family and societal values that complement cost-efficacy analyses.

journal_name

Paediatr Child Health

authors

McMillan D,Lee S,Serediak M,Finn J,Saigal S,Walker C

doi

10.1093/pch/4.1.51

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

51-6

issue

1

eissn

1205-7088

issn

1918-1485

journal_volume

4

pub_type

杂志文章
  • Building Canada's health research capacity within the framework of the Canadian Institutes of Health Research.

    abstract::The establishment of the Canadian Institutes of Health Research (CIHR) generated considerable excitement about the capacity for health research in Canada. The long term success of the CIHR will be determined, in part, by its ability to recruit, train and retain a cadre of talented researchers. During a workshop to dev...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/6.8.517

    authors: Benzies KM,Barnes D,Clifford T,Bouayad A,Hardy D,Korneluk Y,Marrache AM,McCusker C,Miller S,Ring T,Walker M,Waterhouse C

    更新日期:2001-10-01 00:00:00

  • Medically unexplained symptoms in young people: The doctor's dilemma.

    abstract::Medically unexplained symptoms in young people can present a challenge for primary care physicians to manage. Despite the prevalence of this clinical problem, physicians feel ill-equipped to deal with it. Families may attribute symptoms to an organic cause, despite the absence of identified pathology, and often resist...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Geist R,Weinstein M,Walker L,Campo JV

    更新日期:2008-07-01 00:00:00

  • Quality of referral of short children to the paediatric endocrinologist and impact of a fax communication system.

    abstract:BACKGROUND/OBJECTIVES:In 2001, a chart review of children referred to the authors' endocrine clinic because of short stature revealed that many were referred with insufficient baseline data, had normal height velocity and were within genetic target height. Therefore, a two-way fax communication system was implemented b...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/18.10.533

    authors: Chiniara L,Perry RJ,Van Vliet G,Huot C,Deal C

    更新日期:2013-12-01 00:00:00

  • Banning children and youth younger than 18 years of age from commercial tanning facilities.

    abstract::Cutaneous malignant melanoma has increased more than three-fold in the past 35 years. Because damage is cumulative, exposure to ultraviolet radiation early in life elevates a risk that is increased further as individuals use artificial sources of ultraviolet radiation. The full impact and scope of damage caused by yea...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.2.89

    authors: Taddeo D,Stanwick R,Canadian Paediatric Society, Adolescent Health Committee.

    更新日期:2012-02-01 00:00:00

  • An innovative on-call system for paediatric residency programs: The alternate night float.

    abstract:BACKGROUND:Night-float systems, in which residents work consecutive nights, have been increasingly adopted in paediatric programs, but may be detrimental to residents' sleep and mood. OBJECTIVE:To describe the self-reported impact of a novel system consisting of two consecutive weeks of 16 h overnight shifts every sec...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/20.2.77

    authors: Moore GP,Talarico S,Kempinska A,Lawrence SE,Weisz DE

    更新日期:2015-03-01 00:00:00

  • Sex disparity and perception of obesity/overweight by parents and grandparents.

    abstract:OBJECTIVE:To explore the factors associated with the sex disparity showing a greater prevalence of obesity/overweight in boys compared with girls in Chinese school children. METHODS:Sampled students and their parents were asked to complete a questionnaire. Perceptions of weight status by the parents, grandparents and ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/19.7.e113

    authors: Li J,Lei J,Wen S,Zhou L

    更新日期:2014-08-01 00:00:00

  • Stakeholder feedback on The CARD™ System to improve the vaccination experience at school.

    abstract:Objective:School-based vaccination programs can be a source of distress for many students due to the pain from the needle injection and related fears. We created a multifaceted Knowledge Translation (KT) intervention to address vaccination and pain, fear, and fainting called The CARD™ System. The objectives were to doc...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxz018

    authors: Taddio A,Freedman T,Wong H,McMurtry CM,MacDonald N,Ilersich ANT,Ilersich ALT,McDowall T,Pain Pain Go Away Team .

    更新日期:2019-04-01 00:00:00

  • Canada's eight-component vaccine safety system: A primer for health care workers.

    abstract::Concerns about vaccine safety make some parents hesitant about immunization. Health care providers are pivotal in helping parents understand that Canada is a leader in vaccine safety. The present practice point provides an update on the eight components of Canada's vaccine safety system: (1) an evidence-based pre-lice...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx102

    authors: MacDonald NE,Law BJ

    更新日期:2017-07-01 00:00:00

  • Horizontal transmission of group B streptococcus in a neonatal intensive care unit.

    abstract::The incidence of early-onset group B streptococcal (GBS) sepsis in the neonatal population has decreased substantially since the introduction of maternal intrapartum antibiotic prophylaxis and routine prenatal screening. However, these strategies have not reduced the incidence of late-onset GBS infections. Additional ...

    journal_title:Paediatrics & child health

    pub_type:

    doi:10.1093/pch/16.6.e48

    authors: Morinis J,Shah J,Murthy P,Fulford M

    更新日期:2011-06-01 00:00:00

  • The Baby-Friendly Initiative: Protecting, promoting and supporting breastfeeding.

    abstract::Breastfeeding confers extensive and well-established benefits and is recognized as an extremely effective preventative health measure for both mothers and babies. Except in very few specific medical situations, breastfeeding should be universally encouraged for all mothers and infants. To improve worldwide breastfeedi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Pound CM,Unger SL,Canadian Paediatric Society, Hospital Paediatrics Section, Nutrition and Gastroenterology Committee.

    更新日期:2012-06-01 00:00:00

  • The medical evaluation of prepubertal children with suspected sexual abuse.

    abstract::Child sexual abuse is an important and not uncommon problem. Children who have been sexually abused may present to a physician's office, urgent care centre, or emergency department for medical evaluation. A medical evaluation can provide reassurance to both child and caregiver, identify care needs, and offer an accura...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/pxaa019

    authors: Smith T,Chauvin-Kimoff L,Baird B,Ornstein A

    更新日期:2020-04-01 00:00:00

  • Managing the paediatric patient with an acute asthma exacerbation.

    abstract::Children with acute asthma exacerbations frequently present to an emergency department with signs of respiratory distress. The most severe episodes are potentially life-threatening. Effective treatment depends on the accurate and rapid assessment of disease severity at presentation. This statement addresses the assess...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.5.251

    authors: Ortiz-Alvarez O,Mikrogianakis A,Canadian Paediatric Society, Acute Care Committee.

    更新日期:2012-05-01 00:00:00

  • Performing bone marrow aspiration and biopsy in children: Recommended guidelines.

    abstract::Bone marrow aspiration (BMA) and bone marrow trephine biopsy are important procedures for the diagnosis of hematological malignancies and nonmalignant diseases in children. During BMA, bone marrow particles are obtained for analysis including microscopic morphologic evaluations and differential counts. During a trephi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/13.6.499

    authors: Abla O,Friedman J,Doyle J

    更新日期:2008-07-01 00:00:00

  • Where physicians look for information on drug prescribing for children.

    abstract:BACKGROUND:Despite the important role of drug therapy in children, there is often a lack of readily available information regarding the indications and dosing regimens for medications in paediatrics. OBJECTIVE:To collect data on where family physicians obtain this prescribing information. METHOD:A structured question...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/8.4.219

    authors: Matsui DM,Jardine ME,Steer E,Cukernik V,Rieder MJ

    更新日期:2003-04-01 00:00:00

  • Pediatric Emergency Medicine Fellows Education Day: Addressing CanMEDS objectives at a national subspecialty conference.

    abstract::Canadian subspecialty residency training programs are developed around the learning objectives listed in the seven Canadian Medical Education Directives for Specialists (CanMEDS) criteria. Delivering content on objectives outside of those traditionally acquired in clinical rotations can be a challenge. In the present ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.10.544

    authors: Hung GR,Bialy L,Cheng A

    更新日期:2012-12-01 00:00:00

  • Use of bundled interventions, including a checklist to promote compliance with aseptic technique, to reduce catheter-related bloodstream infections in the intensive care unit.

    abstract:BACKGROUND:A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE:To determine whether the use of bundled interventions that include a checklist during central-line inser...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/19.4.e20

    authors: Simpson CD,Hawes J,James AG,Lee KS

    更新日期:2014-04-01 00:00:00

  • Health care professionals' attitudes about pregnancy termination for different fetal anomalies.

    abstract:BACKGROUND:Health care professionals (HCPs) may be involved in counselling women after an antenatal diagnosis of various fetal anomalies. Many pregnant women consider termination of pregnancy (TOP) after antenatal diagnosis of various fetal anomalies. Little is known, however, about the attitudes of HCPs regarding TOP ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.8.e86

    authors: Janvier A,Couture E,Deschenes M,Nadeau S,Barrington K,Lantos J

    更新日期:2012-10-01 00:00:00

  • Child poverty. Ways forward for the paediatrician: A comprehensive overview of poverty reduction strategies requiring paediatric support.

    abstract::The harmful effects of child poverty are well documented. Despite this, progress in poverty reduction in Canada has been slow. A significant gap exists between what is known about eradicating poverty and its implementation. Paediatricians can play an important role in bridging this gap by understanding and advancing c...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/20.4.203

    authors: Sharma S,Ford-Jones E

    更新日期:2015-05-01 00:00:00

  • Lead toxicity with a new focus: Addressing low-level lead exposure in Canadian children.

    abstract::Although acute and subacute lead toxicity requiring active treatment is rare in Canada, paediatricians need to be aware of new evidence linking lower lead levels to neurodevelopmental deficits. Health Canada has identified potential exposures occurring prenatally, in infancy and during early childhood from food and wa...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxz080

    authors: Buka I,Hervouet-Zeiber C

    更新日期:2019-07-01 00:00:00

  • Electrocardiogram interpretation by Canadian general paediatricians: Examining practice, accuracy and confidence.

    abstract:BACKGROUND:Paediatric electrocardiograms (ECGs) are ordered and interpreted by general paediatricians; however, no previous studies have evaluated the accuracy of their ECG interpretations. OBJECTIVE:To determine general paediatricians' practice and opinions regarding ECG use, accuracy of their interpretation of paedi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/19.2.77

    authors: Escudero CA,Sanatani S,Wong KK,Templeton CG

    更新日期:2014-02-01 00:00:00

  • Adolescent male health.

    abstract::Although adolescent males have as many health issues and concerns as adolescent females, they are much less likely to be seen in a clinical setting. This is related to both individual factors and the health care system itself, which is not always encouraging and set up to provide comprehensive male health care. Workin...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/13.1.31

    authors: Westwood M,Pinzon J

    更新日期:2008-01-01 00:00:00

  • Evidence-based medicine and the anecdote: Uneasy bedfellows or ideal couple?

    abstract::Over the past 30 years, there has been a resurgence in the use of storytelling and narrative in medicine. At first glance, the trend to incorporate art forms into medicine appears to run counter to the rise of the more objective and positivist evidence-based medicine movement. In the present article, the authors provi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/11.10.665

    authors: Kosko J,Klassen TP,Bishop T,Hartling L

    更新日期:2006-12-01 00:00:00

  • A new paradigm for parent and patient education.

    abstract::Details of an innovative model for providing health education to families and patients using a coordinated series of skill-based educational opportunities are described. The model offers a variety of educational courses for parents of children at each developmental stage. Each course provides transferable skills that ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/5.6.329

    authors: Buchanan D

    更新日期:2000-09-01 00:00:00

  • Constipation and paediatric emergency department utilization.

    abstract:Background:Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used. Methods:We conducted a cross-sec...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx041

    authors: Nutter A,Meckler G,Truong M,Doan Q

    更新日期:2017-06-01 00:00:00

  • Kawasaki disease at British Columbia's Children's Hospital.

    abstract:OBJECTIVES:To describe the clinical features, diagnosis, treatment and outcome of children with Kawasaki disease (KD) treated at a large tertiary care Canadian paediatric hospital and to try to identify correlations between clinical features and the development of coronary artery abnormalities. METHODS:The charts of 1...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/9.7.466

    authors: Ebbeson RL,Riley MR,Potts JE,Human DG,Malleson PN

    更新日期:2004-09-01 00:00:00

  • Regional paediatric asthma centre: An intervention model.

    abstract:OBJECTIVE:To evaluate the effectiveness of a multidisciplinary paediatric asthma clinic in reducing the morbidity associated with paediatric asthma. METHODS:An initial survey of need was undertaken in the community of Orillia, Ontario and the surrounding area. The clinic was established as a separate entity from the a...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/9.3.159

    authors: Smith W,Downey K,Frampton B,Collings A,Fletcher J

    更新日期:2004-03-01 00:00:00

  • Comprehensive sexual health assessments for adolescents.

    abstract::Sexual activity and experimentation are normative parts of adolescent development that may, at the same time, be associated with adverse health outcomes, including the acquisition of sexually transmitted infections, unplanned pregnancy, and teen dating violence. Anticipatory guidance regarding sexual and reproductive ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxaa122

    authors: Johnson N

    更新日期:2020-12-16 00:00:00

  • Understanding clinical trials in childhood cancer.

    abstract::Clinical trials in paediatric cancer continue to be a key factor in progress toward better treatment and prognosis. Paediatricians and family physicians may be asked by patients and families for their advice regarding participation in such trials. The significant advances in the success of treatment of paediatric canc...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Bond MC,Pritchard S

    更新日期:2006-03-01 00:00:00

  • Follow-up issues with multiples.

    abstract::The rate of multiple pregnancy has increased in developed countries, a finding usually attributed to more widespread use of assisted reproductive technologies. Multiple pregnancies are associated with a greater risk of pregnancy complications, including intrauterine growth restriction of one or more of the fetuses, va...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/11.5.283

    authors: Moore AM,O'Brien K

    更新日期:2006-05-01 00:00:00

  • Trans fats: What physicians should know.

    abstract::Hydrogenation of fat products is used in the food industry to extend their shelf life. Trans fats are the result of partial hydrogenation of unsaturated fat. Trans fats increase low-density lipoprotein cholesterol and decrease high-density lipoprotein cholesterol, thus increasing the risk of cardiovascular disease. Ca...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/15.6.373

    authors: Marchand V

    更新日期:2010-07-01 00:00:00