Revisiting Predictors of Parental Health Care-Seeking Behaviors for Nonurgent Conditions at One Inner-City Hospital

Zandieh, Stephanie O.; Gershel, Jeffery C.; Briggs, William M.; Mancuso, Carol A.; Kuder, John M.

doi:10.1097/pec.0b013e31819e350e

Cited by 36 publications

(28 citation statements)

References 43 publications

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“…Most children who developed mucositis had acute lymphoblastic leukaemia (63.82%), which was consistent with a previous study by Gordón-Núñez et al [15]. Mucositis was less common in children with malignant lymphomas and CNS tumours [1–3]. Although mucositis appeared to occur more in boys than in girls, sex was not a statistically significant factor in the development of mucositis after adjusting for sex.…”

Section: Discussionsupporting

confidence: 88%

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Severity of Oral Mucositis in Children following Chemotherapy and Radiotherapy and Its Implications at a Single Oncology Centre in Durango State, Mexico

Carreon-Burciaga

Castañeda-Castaneira

González-González

et al. 2018

International Journal of Pediatrics

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Background Mucositis is an adverse effect of chemotherapy (QT) and/or radiotherapy (RT). The purpose of this study was to investigate the occurrence of oral mucositis in children undergoing cancer treatment. Methods Fifty-one children with cancer who had received QT, RT, or both (QT-RT) underwent clinical evaluations; World Health Organization criteria were used to establish the degree and severity of mucositis. The correlations between the clinical data, type of cancer, and therapy were statistically analysed. Results Mucositis was present in 88.23% of the patients; 57.78%, 7.78%, and 24.44% received QT, RT, and QT-RT, respectively. Severity scores of 1 and 2 were the most common; scores of 3-4 were observed in patients who received QT-RT or more than 7 treatment cycles. There was a significant association between mucositis, the type of treatment, and the number of cycles received (p < 0.05). Conclusion It is important to implement therapeutic protocols that help maintain excellent oral health and reduce the risk of oral mucositis. Stomatologists should be consulted to assess patients' oral cavities and provide preventive treatment prior to QT and/or RT administration. It is important to integrate a stomatologist into the oncological working group to focus on preventing and managing oral mucositis.

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Section: Discussionsupporting

confidence: 88%

“…Such cancers include myeloproliferative diseases (i.e., lymphoma and leukaemia) and tumours of the central nervous system (CNS) [1, 2]. Chemotherapy (QT) and radiotherapy (RT) are commonly used to treat these conditions.…”

Section: Introductionmentioning

confidence: 99%

Severity of Oral Mucositis in Children following Chemotherapy and Radiotherapy and Its Implications at a Single Oncology Centre in Durango State, Mexico

Carreon-Burciaga

Castañeda-Castaneira

González-González

et al. 2018

International Journal of Pediatrics

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“…The data also indicate that foreign-born respondents were more likely to present to the ED without calling their child’s doctor or asking for others’ opinions. Similarly, Zandieh and colleagues found that non-urgent use of the ED was more likely among the general Hispanic respondents in their study in New York 30 . While our study is more specific to foreign-born respondents, this may indicate a cultural norm in that the typical way to access care in their home country was to simply present to the ED.…”

Section: Resultsmentioning

confidence: 69%

A Profile of Nonurgent Emergency Department Use in an Urban Pediatric Hospital

Kubicek¹,

Liu²,

Beaudin³

et al. 2012

Pediatric Emergency Care

103

104

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Objectives This study was designed to develop a descriptive profile of parents and caregivers who bring their children to the emergency department for non-urgent issues as well as exploring the reasons for presenting to an urban hospital pediatric emergency department for non-urgent conditions. Such work is necessary in order to develop effective interventions. Methods A total of 106 parents/caregivers whose child was triaged with a non-emergent/urgent condition completed a 15–20 minute computerized survey (English and Spanish) in an urban pediatric emergency department. Results The majority of respondents described themselves as Latino (76%) and foreign-born (62%). About half (49%) reported having an annual income of less than $20,000 and 43% of respondents did not have health insurance for themselves. Almost all (95%) of the index children had a primary care physician and health insurance. In spite of being triaged as non-urgent, over half (63%) described their child’s condition as “very” or “extremely” urgent. About half of the respondents reported not receiving basic information on childhood illnesses from their child’s doctor. Reasons for non-urgent visits seemed to revolve around issues of convenience and perception of quality of care. Conclusions Interventions should focus on health literacy and ensure that parents are provided relevant and accurate education on pediatric illnesses and common safety concerns; by increasing parental education on pediatric health, parents may be better able to assess acuity of their child’s health issues.

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“…These higher ED visit rates for Hispanics, however, have not led to higher hospitalization rates. The overall literature on pediatric ED utilization by Latinos describes high visit rates for routine health care needs [12][13][14][15][16][17][18]. The reasons behind ED over-utilization by this population are multi-factorial.…”

Section: Introductionmentioning

confidence: 96%

The impact of limited English proficiency on asthma action plan use

Riera

Navas-Nazario

Shabanova³

et al. 2013

Journal of Asthma

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Revisiting Predictors of Parental Health Care-Seeking Behaviors for Nonurgent Conditions at One Inner-City Hospital

Abstract: Single parenting, Hispanic ethnicity, and perceptions of health are associated with health care-seeking behaviors in high cost settings among Medicaid beneficiaries. Targeted education programs could be used to influence future site of care.

Cited by 36 publications

References 43 publications

Severity of Oral Mucositis in Children following Chemotherapy and Radiotherapy and Its Implications at a Single Oncology Centre in Durango State, Mexico

Severity of Oral Mucositis in Children following Chemotherapy and Radiotherapy and Its Implications at a Single Oncology Centre in Durango State, Mexico

A Profile of Nonurgent Emergency Department Use in an Urban Pediatric Hospital

The impact of limited English proficiency on asthma action plan use

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