Pediatricians and Global Health: Opportunities and Considerations for Meaningful Engagement

Arora, Gitanjli; Esmaili, Emily; Pitt, Michael B.; Green, Andrea; Umphrey, Lisa; Butteris, Sabrina; Clair, Nicole E. St; Batra, Maneesh; O’Callahan, Cliff

doi:10.1542/peds.2017-2964

Cited by 15 publications

(4 citation statements)

References 88 publications

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“…The American Board of Pediatrics Global Health Task Force and affiliates recently released multiple resources that offer guidance on GHspecific topics for pediatricians, including partnership best practices, preparation considerations, roles of pediatric departments in GH, opportunities for practicing pediatricians, and a comprehensive guide to GH education for residency and fellowship program directors. 10,[16][17][18][19] The AAP Section on International Child Health also recently published a policy statement pertaining to the role of pediatricians in GH. 20 These resources, in addition to others, offer helpful guidance for providers seeking to engage globally.…”

Section: Discussionmentioning

confidence: 99%

Global Health Experience and Interest: Results From the AAP Periodic Survey

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Global Health Experience and Interest: Results From the AAP Periodic Survey

et al. 2020

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“…These pediatricians are traveling to regions of the world where there may be fewer than 1 physician per 1000 patients and significantly lower numbers of pediatricians; this type of travel, if wellcoordinated, could potentially address gaps in care in those regions. 26 Conversely, this could pose a significant potential burden to resource-limited health care settings if pediatricians are not well-prepared or experiences are undertaken in isolation. 27 There has been increased attention around an emerging concept of "local global health."…”

Section: Discussionmentioning

confidence: 99%

International Experience of US Pediatricians and Level of Comfort Caring for Immigrant Children and Children Traveling Internationally

Butteris

Leyenaar

Leslie

et al. 2020

The Journal of Pediatrics

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on behalf of the Global Health Task Force of the American Board of Pediatrics* Objective To determine whether international experience is associated with greater comfort in providing care to US children who are immigrants, refugees, and traveling internationally. Study design Following enrollment into the 2018 American Board of Pediatrics Maintenance of Certification program, general pediatricians and subspecialists received a voluntary, online survey with questions about their experience and self-reported comfort caring for immigrant, refugee, and internationally traveling children and previous international experiences. Using multivariable logistic regression, we examined how previous international experiences, and other personal characteristics, were associated with self-reported comfort. Results A total of 5461 eligible participants completed the survey; 76.3%, (n = 4168) reported caring for immigrant children, 35.8% (n = 1957) cared for refugee children, and 79.8% (n = 4358) cared for children traveling internationally. High levels of comfort caring for immigrant children were reported by 68.5% (n = 3739), for refugee children by 50.1% (n = 2738), and for children traveling internationally by 72.7% (n = 3968). One-third of respondents (34.1%, n = 1866) reported past international experiences. In multivariable analysis, respondents with previous international experience and of Hispanic origin were significantly more likely to report high levels of comfort caring for all 3 populations. Conclusions The majority of pediatricians report caring for children in the US who are immigrants, refugees, and traveling internationally, and previous international experience was associated with greater comfort with care. Training programs and professional organizations should consider ways to encourage a more diverse workforce and to support all pediatricians in achieving the skills and confidence required to care for children in our highly mobilized society.

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“…2015). Arora et al (2018) also highlight the immediacy of ignoring geopolitical boundaries when the demographic foci of healthcare services is children. Accordingly, while this study is based on a case study of one hospital in China, it has methodological implications for the assessment of micro-level changes in pediatric health services in any geopolitical area.…”

Section: Introductionmentioning

confidence: 97%

Pediatrics Hospital Care in China Before and After Policy Change: A Case Study

Lou

Burston

Shan

et al. 2021

EUROPEAN J ENV PUBLI

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Worldwide, healthcare policy change ranks among the top three issues in the public's consciousness. This study introduces a case study of pediatric hospitalizations at one hospital in Northern China. It seeks to assess whether pediatric hospitalization access, costs, and costs structures favorably changed after selected health policy reforms were implemented in China.A census of all hospital pediatric discharge data from 2015 to 2018 were collected from a general public tertiary hospital in Northern China. Using generalized linear regression, changes in charges for length of stay, daily charges, total charges per discharge, and drug charges and medical service fees as a percent of total charges were analyzed as a function of two independent variables -policy changes regarding the merger of two health insurance programs, and the zero-markup drug pricing policy. These variables were included as dummy variables for the pre-and-post change periods. The covariates used included patient age, sex, and the year.After the policy implementation, significant decreases (P<.01) were found in the length of the hospital stay (-0.49 days) and drug and medical charges (-7.63%) as a percent of total charges. A significant decrease also occurred (P<.01) in the number and percent of pediatric patients served who were self-pay after the merger of the NCMS insurance plan into the URBMI. Drug costs as a proportion of total costs also decreased significantly (P<.01). Thus, the findings revealed that the zero-markup drug pricing policy was associated with a significant decrease (P<.01) in the mean percentage markup for drug charges (P<.01).Accordingly, both health policy changes were associated with positive effects on pediatric healthcare expenditures, and access. This research suggests that as these two policies are fully implemented at public tertiary hospitals throughout China, pediatric hospital care may become even more accessible and drugs less costly.

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Pediatricians and Global Health: Opportunities and Considerations for Meaningful Engagement

Cited by 15 publications

References 88 publications

Global Health Experience and Interest: Results From the AAP Periodic Survey

Global Health Experience and Interest: Results From the AAP Periodic Survey

International Experience of US Pediatricians and Level of Comfort Caring for Immigrant Children and Children Traveling Internationally

Pediatrics Hospital Care in China Before and After Policy Change: A Case Study

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