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 Healthjournal_title
Paediatrics & child healthauthors
McMillan D,Lee S,Serediak M,Finn J,Saigal S,Walker Cdoi
10.1093/pch/4.1.51subject
Has Abstractpub_date
1999-01-01 00:00:00pages
51-6issue
1eissn
1205-7088issn
1918-1485journal_volume
4pub_type
杂志文章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
更新日期:2001-10-01 00:00:00
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:
更新日期:2008-07-01 00:00:00
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
更新日期:2013-12-01 00:00:00
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
更新日期:2012-02-01 00:00:00
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
更新日期:2015-03-01 00:00:00
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
更新日期:2014-08-01 00:00:00
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
更新日期:2019-04-01 00:00:00
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
更新日期:2017-07-01 00:00:00
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
更新日期:2011-06-01 00:00:00
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:
更新日期:2012-06-01 00:00:00
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
更新日期:2020-04-01 00:00:00
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
更新日期:2012-05-01 00:00:00
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
更新日期:2008-07-01 00:00:00
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
更新日期:2003-04-01 00:00:00
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
更新日期:2012-12-01 00:00:00
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
更新日期:2014-04-01 00:00:00
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
更新日期:2012-10-01 00:00:00
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
更新日期:2015-05-01 00:00:00
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
更新日期:2019-07-01 00:00:00
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
更新日期:2014-02-01 00:00:00
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
更新日期:2008-01-01 00:00:00
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
更新日期:2006-12-01 00:00:00
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
更新日期:2000-09-01 00:00:00
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
更新日期:2017-06-01 00:00:00
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
更新日期:2004-09-01 00:00:00
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
更新日期:2004-03-01 00:00:00
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
更新日期:2020-12-16 00:00:00
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:
更新日期:2006-03-01 00:00:00
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
更新日期:2006-05-01 00:00:00
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
更新日期:2010-07-01 00:00:00