Evidence-Based Community Pediatrics: Building a Bridge From Bedside to Neighborhood

Sanders, Lee; Robinson, Thomas N.; Forster, Lourdes; Plax, Katie; Brosco, Jeffrey P.; Brito, Arturo

doi:10.1542/peds.2004-2825h

Cited by 24 publications

(14 citation statements)

References 5 publications

(2 reference statements)

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“…Within the articles gathered here, there is a visible commitment to engaging children and youth where they are: in families, in school, in church, at the YMCA, and in the community. [37][38][39] There is a new day dawning in pediatrics. This supplement is the documentation of the challenges before us all and the celebration of all those brave and devoted practitioners, residents, students, families, community-based organizations, and public agencies who have banded together to make the context of children's lives as healthy and happy as possible.…”

Section: Hope For the Futurementioning

confidence: 99%

Introduction: Addressing the Millennial Morbidity—The Context of Community Pediatrics

et al. 2005

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Section: Hope For the Futurementioning

confidence: 99%

Introduction: Addressing the Millennial Morbidity—The Context of Community Pediatrics

et al. 2005

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“…These health problems directly depend on present-time factors: poverty, unequal wealth distribution, wide variety of values, beliefs and customs in the family environment, adverse working conditions among women, larger number of separations/divorces, single fathers/ mothers, child labor, urban violence, poor traffic control, drug trafficking, inappropriate sexual behavior, incoordinate influence of technological advances and negative influence of the media, mainly television and Internet. 1,24,[30][31][32] Due to these factors, experts have recommended that pediatricians take on their political role of child advocates and engage more actively in partnerships with community groups, 8,24,30,31,33,34 in addition to the implementation of evidence-based community pediatrics training. 26,32,35,36 Injury control is also a modern paradigm, since it is a theoretical and conceptual model that has been consolidated and shared by the entire academic community for nearly 50 years.…”

Section: Classical Pediatric Morbidity (1900s-1955s)mentioning

confidence: 99%

“…1,24,[30][31][32] Due to these factors, experts have recommended that pediatricians take on their political role of child advocates and engage more actively in partnerships with community groups, 8,24,30,31,33,34 in addition to the implementation of evidence-based community pediatrics training. 26,32,35,36 Injury control is also a modern paradigm, since it is a theoretical and conceptual model that has been consolidated and shared by the entire academic community for nearly 50 years. 37 Its basic conception includes effective actions that can improve outcomes, either concerning the number and severity of injuries, or the victims further quality of life).…”

Section: Classical Pediatric Morbidity (1900s-1955s)mentioning

confidence: 99%

Controle de injúrias sob a ótica da pediatria contextual

Blank¹

2005

J. Pediatr. (Rio J.)

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Suggested citation: Blank D. Injury control from the perspective of contextual pediatrics. J Pediatr (Rio J). 2005;81(5 Suppl):S123-S136. AbstractObjective: To describe the relationship between injury control and contextual pediatrics. Sources of data:Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.Summary of the findings: Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety. Conclusions:The pediatricians roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.J Pediatr (Rio J). 2005;81(5 Suppl):S123-S136: Community medicine, wounds and injuries, counseling, health education. Injury control from the perspective of contextual pediatricsDanilo Blank* 0021-7557/05/81-05-Suppl/S123 Jornal de Pediatria Copyright © 2005 by Sociedade Brasileira de Pediatria REVIEW ARTICLEPediatrics is a contextual specialty concerned about children, their families, and the communities in which they live (...) Although the morbidity and mortality of children have changed over the past 150 years, the need for engaging in the community with families and community-based partners has not. Rather, the salience of community pediatrics has risen as the effects of societal forces have intensified and knowledge of the bioenvironmental interface has become more sophisticated (...)Pediatricians began collaborating with others in the community to prevent disease and promote health.Beyond the clinic doors, they found clear patterns and explanations. Child health outcomes were in a dynamic interplay with the environment, secular trends, commercial developments, the economy, family customs, and cultural norms.Judith S. Palfrey, Thomas F. Tonniges, Morris Green and Julius Richmond 1 S124 Jornal d...

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“…Embora a natureza de tais mudanças seja difícil de predizer, a ação do pediatra tem que se basear nelas, não em conhecimentos e habilidades pré-definidos 157 . Além disso, é essencial não perder a perspectiva de que as injúrias têm relação direta com as desigualdades socioeconômicas; logo, como todo cidadão, o pediatra precisa fazer sua parte no aprimoramento das instituições democráticas, as quais, em última análise, condicionam o contexto social 14,22,32 .…”

Section: Conclusão: Olhando Adiante O Presenteunclassified

Injury control from the perspective of contextual pediatrics

Blank¹

2005

J Pediatr (Rio J)

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Como citar este artigo: Blank D. Controle de injúrias sob a ótica da pediatria contextual. J Pediatr (Rio J). 2005;81(5 Supl):S123-S136. AbstractObjective: To describe the relationship between injury control and contextual pediatrics.Sources of data: Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.Summary of the findings: Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety. Conclusions:The pediatricians roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.

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Evidence-Based Community Pediatrics: Building a Bridge From Bedside to Neighborhood

Cited by 24 publications

References 5 publications

Introduction: Addressing the Millennial Morbidity—The Context of Community Pediatrics

Introduction: Addressing the Millennial Morbidity—The Context of Community Pediatrics

Controle de injúrias sob a ótica da pediatria contextual

Injury control from the perspective of contextual pediatrics

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