Abstract:
:This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods in 2014 and 836 patients who attended vaccination events in the summer of 2014. The benefit of partial series vaccination was estimated based on vaccine efficacy/effectiveness data. Our conservative cost-benefit estimates show that, compared with office-based settings, every dollar spent on vaccination by the MCP would result in $0.9 societal cost averted as an incremental benefit in regular service days and $3.7 during vaccination-only events. To further improve the cost-benefit of vaccination services in the MCP, decision-makers and stakeholders may consider improving work efficiency during regular service days or hosting more vaccination events.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Chen W,Misra SM,Zhou F,Sahni LC,Boom JA,Messonnier Mdoi
10.1177/0009922820908586subject
Has Abstractpub_date
2020-06-01 00:00:00pages
706-715issue
7eissn
0009-9228issn
1938-2707journal_volume
59pub_type
杂志文章abstract:BACKGROUND:Acid-suppressing agents have been associated with increased Clostridium difficile infection (CDI) in adults. The objective of this study was to evaluate the association of acid-suppressing therapy with the development of CDI in the pediatric population. METHODS:This was a retrospective case-control study. C...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815569201
更新日期:2015-10-01 00:00:00
abstract::The traditional American family has changed during the past several decades with increases in the number of single-parent households and working mothers. These changes have led to increased stress in the family when children become ill. Infectious diseases are the most common reasons parents seek care for ill children...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289703600403
更新日期:1997-04-01 00:00:00
abstract::Urinary tract infection (UTI) in children is a common diagnosis in general pediatric practice. Because of the potential severity and proven morbidity of such infections, the American Academy of Pediatrics (AAP) developed guidelines to better direct clinicians in the workup. This retrospective study sought to evaluate ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808319962
更新日期:2008-11-01 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::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:BACKGROUND:Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools. METHODS:The initiative utilized a learning collaborative approach and the Model for Impr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814527499
更新日期:2014-06-01 00:00:00
abstract::The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals f...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802701203
更新日期:1988-12-01 00:00:00
abstract::We analyzed findings from the 2009-2010 National Survey of Children with Special Health Care Needs to identify associations between families with children and youth with special health care needs (CYSHCN) reporting adequate care coordination (CC) with family-provider relations, shared decision making (SDM), and child ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818783501
更新日期:2018-10-01 00:00:00
abstract::A 9-year-old boy with an endocardial cushion defect who had skull erosion as well as widening of the diploe is described. This was accompanied by thickening of the tables, "hair-on-end" striations in the skull, and cortical thinning and medullary cavity expansion in the femora. The skull erosion is attributed to venou...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700109
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:To measure the willingness and ability of primary care pediatricians (PCPs) to accept children and youth with special health care needs (CYSHCN) into their practices. METHODS:Surveys were mailed to 1441 members of the Illinois Chapter of the American Academy of Pediatrics practicing primary care. RESULTS:In...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813476572
更新日期:2013-04-01 00:00:00
abstract::Infections with Mycobacterium marinum are uncommon in children but should be considered by a physician confronted with chronic, poorly healing skin lesions. A case of such an infection in a 4-year-old child is presented. Presenting signs and symptoms, differential diagnosis, and treatment of these infections are discu...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400512
更新日期:1985-05-01 00:00:00
abstract::Gynecomastia is defined as excessive development of the breast in boys. It is common in neonates and adolescents. Although in most cases this is a transient phenomenon, it might lead to significant social impediments such as decreased participation in physical education because of embarrassment. A primary care provide...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806294800
更新日期:2007-07-01 00:00:00
abstract::The Adult Congenital and Pediatric Cardiology (ACPC) Section of the American College of Cardiology sought to develop quality indicators/metrics for ambulatory pediatric cardiology practice. The objective of this study was to report the creation of metrics for patients with Kawasaki disease. Over a period of 5 months, ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819896098
更新日期:2020-03-01 00:00:00
abstract::A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000508
更新日期:1991-05-01 00:00:00
abstract::The records of 20 children with imported malaria admitted to Kings County Hospital between October 1987 and May 1995 were reviewed. All had a history of recent travel or immigration from a malaria endemic area (West-Africa [16], Central-America [three], and the Caribbean [one]). None of the 10 children with a travel h...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289903800603
更新日期:1999-06-01 00:00:00
abstract::This study analyzed parental perception of the impact of diarrhea on quality of life of their children. A standardized questionnaire was completed by 2023 parents in Germany with children with diarrhea who were younger than 2 years old. Parents stated the most worrying aspects of diarrhea. A health score was measured ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807310933
更新日期:2008-05-01 00:00:00
abstract::Between December 1980 and November 1984, the acute episode was studied prospectively in 187 children under 14 years presenting with acute poststreptococcal glomerulonephritis. The mean annual incidence was 19.5/10(5) children. The disease was mainly pharyngitis-associated and occurred throughout the year but peaked in...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500402
更新日期:1986-04-01 00:00:00
abstract::Antibiotics are widely prescribed for children with nonspecific upper respiratory tract infections, contributing to the recent emergence of resistant pneumococci. To understand the reasons for the overprescription of antibiotics, we conducted focus groups with parents and with pediatricians and family physicians to as...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289803701104
更新日期:1998-11-01 00:00:00
abstract::The aim of this study was to evaluate the safety and efficacy of nonoperative treatment of esophageal perforation (EP) in children. Between 1999 and 2004, 13 episodes in 12 patients were evaluated. The treatment program consisted of broad-spectrum antibiotics, nasopharyngeal aspiration, parenteral and/or enteral nutri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280504400204
更新日期:2005-03-01 00:00:00
abstract::Mycoplasma pneumoniae is a common cause of upper and lower respiratory tract infections of varying severity. It is also responsible for producing a wide spectrum of nonpulmonary manifestations including neurologic, hepatic, cardiac, and hematologic diseases. The neurologic manifestations are reported to be the most co...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280003900401
更新日期:2000-04-01 00:00:00
abstract::The rectal-axillary temperature difference (R-A) was measured in the morning, at midday, and in the afternoon on 1,519 occasions in 1,149 children from birth to 5 years old. Of these, 302 children were febrile (rectal temperature > or = 38 degrees C) and 847 were afebrile. A wide range in R-A was found for each indivi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289303200503
更新日期:1993-05-01 00:00:00
abstract::Dextromethorphan hydrobromide (DXM), a constituent of more than 125 patent cough/cold remedies, is the most popular antitussive medication in the United States. Cough syrups or capsules also contain additional ingredients such as acetaminophen, chlorpheniramine maleate, guaifenesin, and/or pseudoephedrine, and toxicit...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280504400702
更新日期:2005-09-01 00:00:00
abstract::The effects of position (upright vs reclining) and support (held vs chair) on the development and maintenance of feeding behavior were examined in a child with bronchopulmonary dysplasia and gastroesophageal reflux. A reclining position initially facilitated acceptance and swallowing with relatively rapid generalizati...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289403300102
更新日期:1994-01-01 00:00:00
abstract::Such a program was used to treat 18 encopretic children; 17 improved and 14 became completely free of soiling. Most encopretic children can be managed by pediatricians and only those children with severe emotional disorders require psychiatric referral. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287801700110
更新日期:1978-01-01 00:00:00
abstract::The objective of this study is to document the incidence of falls from playground equipment in the United States over time and to provide a detailed profile of the individuals injured in playground falls using several state and national databases. During the past decade, there has been a steep decline in the number of...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817732618
更新日期:2018-05-01 00:00:00
abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811398390
更新日期:2011-07-01 00:00:00
abstract::This study aims to explore the changes in endothelin-1 (ET-1), plasma neuropeptide Y, and calcitonin gene-related peptide (CGRP) in child patients before and after operation. A total of 80 child patients with congenital heart disease (CHD) complicated with pulmonary hypertension (PH) were enrolled and divided into con...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820948261
更新日期:2021-01-01 00:00:00
abstract::Tests with the Bayley Motor Scale were given to 288 infants, equally divided by sex, in Yucatan, Mexico. These were 2 to 54 weeks in age and came from three sociocultural levels. In comparison to USA infants, early acceleration of motor development was followed by a marked downward trend. This phenomenon, if observed ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287801701106
更新日期:1978-11-01 00:00:00
abstract::An age-appropriate questionnaire (GASP-Q) was used to assess the frequency and severity of the gastroesophageal reflux disease (GERD) symptoms: abdominal/belly pain, chest pain/heartburn, pain after eating, nausea, burping/belching, vomiting/regurgitation, choking when eating, and difficulty swallowing, in adolescents...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922806292792
更新日期:2006-10-01 00:00:00
abstract::We sought to determine if a simple educational intervention initiated at the first well-child care visit, with reinforcement at subsequent visits, can improve inner-city infant immunization rates. We conducted a controlled trial involving 315 newborn infants and their primary caregivers in 3 inner-city primary care ce...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章
doi:10.1177/000992280104000701
更新日期:2001-07-01 00:00:00