Abstract:
OBJECTIVES:As part of the evaluation of the American Academy of Pediatrics (AAP) Community Access to Child Health (CATCH), to 1) identify, retrospectively, the actual chronology of activities undertaken through CATCH, and 2) review its antecedents within the AAP, and its predecessor program-Healthy Children. METHODS:Key informant telephone interviews with 14 national leaders in CATCH were conducted. Relevant program and administrative files and other documents were reviewed. AAP staff assisted the authors in preparing a detailed chronology of Healthy Children and CATCH activities and events from spring 1988 through summer 1996. RESULTS AND CONCLUSIONS:A decade of change in the AAP, under the acronym CATCH began in the late 1980s. The formation of the AAP's Partnership for Children and the Access to Care for Children Initiative, combined with the decision by the Robert Wood Johnson Foundation to transfer the funding of Healthy Children to the AAP, underpinned the changes. The Foundation's decision provided the resources and stimulus for the expansion and increased recognition of Community Pediatrics at the national AAP office, culminating in the establishment of the Department of Community Pediatrics in mid-1994. A national program of pediatrician-led, community-based programs and supportive services was launched, other resources were attracted, and a philosophical shift in defining the role of the pediatrician was put forward. A responsibility toward all children within the community was included in the role of the pediatrician, as well as caring for the individual child within a community context.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Hutchins VL,Grason H,Aliza B,Minkovitz C,Guyer Bsubject
Has Abstractpub_date
1999-06-01 00:00:00pages
1373-83issue
6 Pt 3eissn
0031-4005issn
1098-4275journal_volume
103pub_type
历史文章,杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVE:Our goal was to determine the prevalence of intestinal parasites in internationally adopted children, to examine factors associated with infection, and to determine if evaluating multiple stool specimens increases the yield of parasite identification. METHODS:We evaluated internationally adopted children wit...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-3032
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:To determine whether maternal report of infant behavioral dysregulation at 6 months is associated with a higher prevalence of behavioral concerns at 5, 14, and 21 years of age; and to assess the extent to which maternal and social factors may affect reported child behavior outcomes. METHODS:From the Mater-U...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-3517
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) comprise only 6% of the pediatric population, account for ∼40% of pediatric health care spending, and provide an important opportunity for cost saving. Savings in this group can have an important impact on pediatric health care costs. The objective of thi...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2019-2401
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:In 2006, routine immunization of US infants against rotavirus was initiated. We assessed national, regional, and local trends in rotavirus testing and detection before and after vaccine introduction. METHODS:We examined data for July 2000 through June 2008 from a national network of approximately 70 US labo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-3528
更新日期:2009-08-01 00:00:00
abstract::Perinatal depression (PND) is the most common obstetric complication in the United States. Even when screening results are positive, mothers often do not receive further evaluation, and even when PND is diagnosed, mothers do not receive evidence-based treatments. Studies reveal that postpartum depression (PPD), a subs...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2018-3259
更新日期:2019-01-01 00:00:00
abstract::The use of antimicrobial drugs was studied among 933 randomly selected infants and children who were hospitalized in 20 short-stay general hospitals in Pennsylvania. Twenty-two percent of pediatric patients received antimicrobial drugs: 5% of neonates and 57% of patients aged 12 to 18 months. Sixty-eight percent of th...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-11-01 00:00:00
abstract::The lateral decubitus chest radiograph is a useful procedure in the evaluation of ill-defined pulmonary densities that may stimulate infiltrates. This procedure, although described previously in the radiologic literature, has not been in frequent use. The procedure assists diagnosis in patients who are not able to tak...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract:OBJECTIVE:The goal was to examine the association between the New York State (NYS) upgraded child restraint law (UCRL) implemented in 2005 and the traffic injury rate among 4- to 6-year-old children in New York State. METHODS:A before/after comparison study of population-based, traffic injury rates for 4- to 6-year-ol...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-0249
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:Inattention and hyperactivity are frequent among children with sleep-disordered breathing (SDB) and often improve when SDB is treated. However, the frequency of SDB symptoms among inattentive and hyperactive children has received little study. DESIGN:Cross-sectional survey. SETTING:Two university-affiliated...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.109.3.449
更新日期:2002-03-01 00:00:00
abstract::A 6-week-old girl with congenital melanoma of the skin is reported and the literature is reviewed. We believe this to be the first case of congenital melanoma in a black infant who had no underlying giant melanocytic nevus. Because of the significant relationship between the early treatment and prognosis of malignant ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract:OBJECTIVE:To determine the short-term efficacy of meso-2,3-dimercaptosuccinic acid (DMSA) in mild to moderately lead poisoned children. METHODS:Medical records of all pediatric patients receiving 19 days of DMSA between June 1991 and May 1993 were reviewed retrospectively. Patients were included if their pretreatment ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:Incomplete subspecialty referrals, whether unscheduled or unattended, represent unmet patient needs and an opportunity to improve patient safety and experiences. Our objectives were to describe the rates of appointment scheduling and visit attendance after pediatric subspecialty referral and to examine patie...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-0545
更新日期:2019-12-01 00:00:00
abstract::The clinical course, laboratory data, outcome, and autopsy findings in 61 pediatric patients with suspected brain death were reviewed. In 58% of patients, the initial EEG was isoelectric, and cerebral blood flow was absent. In six of nine children, the initial EEG, which showed activity, became isoelectric by 72 hours...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the effects on breastfeeding rates of a private-sector early discharge program and a subsequent government mandate guaranteeing 48 hours of hospital coverage. METHODS:Interrupted time-series analyses were conducted on retrospective data from the automated medical rec...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.111.3.519
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:To determine self-reported adherence to national asthma guidelines for children by primary care physicians in managed care; and, to analyze sources of variation in these practices by physician specialty and managed care practice type. DESIGN:A survey of 671 primary care physicians (pediatricians and family p...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:In May 2006, Health Canada released a statement advising against the use of stimulant medications for patients with cardiac disease after isolated reports of sudden death. The objectives of this study were to determine whether the Health Canada advisory has had an impact on cardiovascular screening of all chi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-0276
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:To describe the spectrum of cognitive outcomes of children with and without cerebral palsy (CP) after neonatal encephalopathy, evaluate the prognostic value of early developmental testing and report on school services and additional therapies. METHODS:The participants of this study are the school-aged survi...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1542/peds.2014-1566
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To identify correlates of objectively measured moderate and vigorous physical activity (MVPA) in children during preschool attendance. METHODS:This cross-sectional study included data from 426 apparently healthy Danish children (49.5% boys), 5 to 6 years of age enrolled in 42 randomly selected preschools. Th...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2012-3961
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:Sleep-disordered breathing (SDB) is associated with insulin resistance and dyslipidemia in adults and in obese children. However, the prevalence of such metabolic abnormalities among snoring children is unknown. This study was done to prospectively assess the relative contribution of SDB and obesity to metabo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2527
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to use proton magnetic resonance spectroscopy (MRS) as a metabolic assay to describe biochemical changes during the evolution of neuronal injury in infants after shaken baby syndrome (SBS), that explain the disparity between apparent physical injury and the neurological deficit a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.1.4
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:A widely published set of exchange transfusion criteria lowers critical bilirubin concentrations when the serum albumin falls to < 2.5 g/dL. Although acknowledging the role of bilirubin-albumin binding in bilirubin neurotoxicity, this approach may inadvertently produce two critical bilirubin concentrations. T...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVES:To test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) receive opioid analgesics, and (3) achieve pain reduction. METHODS:We performed a 3-year retrospective cross-sectional study of children <18 years old with long-bone fractures using the Pedi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3370
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:To assess the relative frequency of, the clinical and pathological correlates in, and the prognosis of the subset of infants with neuroblastoma who were identified initially by prenatal ultrasonography. DESIGN:Retrospective review of all patients with neuroblastoma evaluated between 1982 and 1992. SETTING:...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to create and validate new intrauterine weight, length, and head circumference growth curves using a contemporary, large, racially diverse US sample and compare with the Lubchenco curves. METHODS:Data on 391 681 infants (Pediatrix Medical Group) aged 22 to 42 weeks at birth fr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-0913
更新日期:2010-02-01 00:00:00
abstract::The factors associated with submersion events among less than 20-year-old persons that occurred in King County from 1974 to 1983 were studied to focus prevention efforts. Near-drowning (n = 103) and drowning (n = 96) victims were identified from medical examiners' reports, paramedics' reports, and hospital discharge r...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:To examine the impact of admission-day illness severity on nosocomial bacteremia risk after consideration of traditional risk determinants such as birth weight and length of stay. METHODS:The hospital courses for 302 consecutive very low birth weight (less than 1500 g) infants admitted to two neonatal intens...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Attention-deficit/hyperactivity disorder (ADHD) medication use and psychotherapeutic polypharmacy is increasing. This study was designed to assess annual rates of ADHD medication prescribing and psychotherapeutic polypharmacy among patients 2 to 24 years old in the United States, identify comm...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-2832
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:High rates of use of child safety seats have been achieved. A remaining challenge in child passenger safety is to reach the Healthy People 2010 objective of child safety seat use to 100%. Several factors have been reported to influence child safety seat use. A child safety seat Hassles Scale was developed to ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-2211
更新日期:2006-07-01 00:00:00
abstract::A child with a poorly differentiated lymphoma developed varicella while being treated with maintenance chemotherapeutic agents. He received a transfusion of nonirradiated leukocytes from 1 unit of whole blood donated by a healthy volunteer who had recently recovered from varicella. The clinical course of varicella was...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVES:Contrary to the importance of total sleep duration, the association between sleeping through the night and development in early infancy remains unclear. Our aims were to investigate the proportion of infants who sleep through the night (6- or 8-hour sleep blocks) at ages 6 and 12 months in a longitudinal coh...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-4330
更新日期:2018-12-01 00:00:00