Abstract:
:An Alternate Funding Plan (AFP) was introduced at the Hospital for Sick Children in 1990 as the fee-for-service model was incapable of meeting the academic mandate of the Department of Pediatrics. The plan was challenged by some members of the Ontario Medical Association and community paediatricians as inefficient, too costly, and possibly a challenge to the fee-for-service system. At present, 28 years later, there are nine productive Department of Pediatrics AFPs across Canada. The current state of the AFPs and possible future direction of the program are discussed.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Haslam RHAdoi
10.1093/pch/pxy159subject
Has Abstractpub_date
2019-05-01 00:00:00pages
98-102issue
2eissn
1205-7088issn
1918-1485pii
pxy159journal_volume
24pub_type
杂志文章,评审abstract:Background:Functional abdominal pain disorders (FAPD) are prevalent in the paediatric population, however, there is currently no consensus regarding best practices for treatment. The use of probiotics is becoming popular to treat FAPD. The goal of this rapid review is to synthesize the best evidence on the use of probi...
journal_title:Paediatrics & child health
pub_type: 杂志文章,评审
doi:10.1093/pch/pxz036
更新日期:2019-09-01 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:OBJECTIVE:To assist in the diagnosis of retinopathy of prematurity (ROP) to facilitate treatment in a timely manner to help prevent blindness. DATA SOURCES:Systematic review using MEDLINE including the following key words, "retinopathy of prematurity", "retrolental fibroplasia", "blind", "blindness", "vision screening...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:
更新日期:1998-05-01 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::Acute otitis media (AOM) continues to be a common infection in young children. Milder disease, usually due to viruses or less virulent bacteria, resolves equally quickly with or without antibiotics. A bulging tympanic membrane, especially if yellow or hemorrhagic, has a high sensitivity for AOM that is likely to be ba...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/21.1.39
更新日期:2016-01-01 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
abstract::The present statement reviews the evidence for universal newborn hearing screening (UNHS). A systematic review of the literature was conducted using Medline and using search dates from 1996 to the third week of August 2009. The following search terms were used: neonatal screening AND hearing loss AND hearing disorders...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.5.301
更新日期:2011-05-01 00:00:00
abstract::The ability to communicate effectively with patients and families is paramount for good patient care. This practice point reviews the importance of communicating effectively in cross-cultural encounters. The concept of cultural competence is introduced, along with the LEARN (Listen, Explain, Acknowledge, Recommend, Ne...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx126
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To determine whether a simple, nonsurgical treatment for congenital ear abnormalities (lop-ear, Stahl's ear, protruding ear, cryptotia) improved the appearance of ear abnormalities in newborns at six weeks of age. METHODS:This is a descriptive case series. All newborns with identified abnormalities were refe...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.6.327
更新日期:2005-07-01 00:00:00
abstract:Introduction:In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesize...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx115
更新日期:2017-11-01 00:00:00
abstract::There is a growing focus in the medical community on de-escalating medical treatments where appropriate; however, specific efforts to reduce medication burden in patients with polypharmacy has largely been targeted toward adult populations. Polypharmacy increases the risk of adverse drug reactions in children, and tha...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxy188
更新日期:2019-08-01 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/19.4.176
更新日期:2014-04-01 00:00:00
abstract::Respite care is one integral component of the transition process from paediatric to adult health care, and is of particular importance to individuals with medical complexities. Numerous gaps that exist within the current system limit a child and family's ability to access quality respite care during a time when it is ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx142
更新日期:2017-10-01 00:00:00
abstract::Zika virus (ZIKV) was recently recognized to be teratogenic. The diagnosis of congenital ZIKV syndrome should be considered in children with unexplained microcephaly, intracranial calcifications, ventriculomegaly or major structural central nervous system abnormalities. Management is evolving but suggestions are provi...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx012
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To determine the current prevalence of smoking among First Nations youth living on reserve within the Saskatoon Tribal Council, and to determine the independent risk indicators associated with smoking among First Nations youth. METHODS:Students in grades 5 to 8 attending school within the Saskatoon Tribal Co...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/16.10.e71
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:To describe an approach to history, physical examination and investigation for the developmentally delayed child. METHODS:A review of electronic databases from 1997 to 2001 was done searching for articles relating to the approach to or investigations of children with developmental delay. Five studies, includ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/8.1.16
更新日期:2003-01-01 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:OBJECTIVE:To assess, in the newborn, the efficacy of a standard taping treatment used in children for two selected congenital toe abnormalities (curly/varus/underlapping toes and overlapping toes), and compare the outcome with the available world literature. METHODS:All children referred by their family physician betw...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/12.9.755
更新日期:2007-11-01 00:00:00
abstract:Background:Hyperbilirubinemia is a common neonatal condition requiring timely management to prevent acute bilirubin encephalopathy. Management protocols allow nonphysicians to initiate designated actions prior to physician assessment. Objective:To assess the effectiveness of a nurse-initiated neonatal jaundice managem...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxx056
更新日期:2017-08-01 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::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: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::Childhood obesity has reached epidemic proportions. Many of these children have risk factors for later disease, including cardiovascular disease. For optimal cardiovascular health, health care professionals must be able to identify children and youth at risk and provide appropriate support as needed. The present artic...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/14.3.177
更新日期:2009-03-01 00:00:00
abstract::A 1992 meta-analysis did not find enough evidence to recommend one method of umbilical cord care as the 'best'. However, certain agents were deemed acceptable including triple dye, silver sulfadiazine and antibiotic ointments. In this paper, the authors sought to discover whether there was now evidence to support one ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/4.2.105
更新日期:1999-03-01 00:00:00
abstract::[This corrects the article on p. 12 in vol. 20, PMID: 25722635.]. ...
journal_title:Paediatrics & child health
pub_type: 已发布勘误
doi:
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Paediatrician human resource planning in Canada is currently a major concern. The optimal mix of physicians by type of practice and geographical distribution also remains controversial for many groups of physicians. OBJECTIVE:To compare 10-year trends (1987 to 1997) in paediatric practice with respect to ag...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/10.10.595
更新日期:2005-12-01 00:00:00
abstract::While terms such as 'essential' and 'nonessential' used amidst the COVID-19 pandemic may serve a practical purpose, they also pose a risk of obstructing our view of the harmful indirect health consequences of this crisis. SARS-CoV-2 cases and deaths in children are minimal compared to adults, but the pandemic impacts ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/pxaa077
更新日期:2020-08-01 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:OBJECTIVES:To explore how and when chiropractors are involved in the care of patients younger than 18 years of age, and to examine chiropractors' beliefs about treating paediatric patients. DESIGN:A cross-sectional survey of a random sample of 140 chiropractors practising in Alberta. Data were collected by means of a ...
journal_title:Paediatrics & child health
pub_type: 杂志文章
doi:10.1093/pch/6.7.433
更新日期:2001-09-01 00:00:00
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