The Pediatrician’s Role in Community Pediatrics

Rushton, Francis E.

doi:10.1542/peds.2004-2680

Cited by 85 publications

(17 citation statements)

References 26 publications

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“…A recent study by Ariza et al [98] demonstrated the feasibility of identifying overweight children in pediatric practices and then linking families to existing community-based programs. Linking children and families to community resources is a practice in line with American Academy of Pediatrics recommendations for pediatricians, which highlight the importance of pediatrician community connectedness in the prevention and treatment of public health issues, such as obesity [99, 100]. …”

Section: Discussionmentioning

confidence: 99%

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

et al. 2015

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Effective obesity prevention and treatment interventions targeting children and their families are needed to help curb the obesity epidemic. Pediatric primary care is a promising setting for these interventions, and a growing number of studies are set in this context. This review aims to identify randomized controlled trials of pediatric primary care-based obesity interventions. A literature search of 3 databases retrieved 2947 publications, of which 2899 publications were excluded after abstract (n=2722) and full-text review (n=177). Forty-eight publications, representing 31 studies, were included in the review. Eight studies demonstrated a significant intervention effect on child weight outcomes (e.g., BMI z-score, weight-for-length percentile). Effective interventions were mainly treatment interventions, and tended to focus on multiple behaviors, contain weight management components, and include monitoring of weight-related behaviors (e.g., dietary intake, physical activity, or sedentary behaviors). Overall, results demonstrate modest support for the efficacy of obesity treatment interventions set in primary care.

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Section: Discussionmentioning

confidence: 99%

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

et al. 2015

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“…Many providers agree that the recommendations of the American Academy of Pediatrics for screening of caregivers’ psychosocial needs and families’ social and economic needs are valuable, but many clinicians do not do so. 55,56 Pediatricians could screen for maternal depression, as one relevant health outcome, but feasible practices for assessment and care are relatively untested. 57 As another strategy, family medical homes are comprehensive medical care facilities that intend to address child, youth, and adult care needs concomitantly, recognizing family context.…”

Section: Discussionmentioning

confidence: 99%

A Life Course Perspective on Stress and Health Among Caregivers of Children With Asthma in Detroit

Sampson

Parker

Cheezum

et al. 2013

Family &Amp; Community Health

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Low-income caregivers raising children with asthma experience many obstacles to their own health, including stress. To understand and describe their daily experiences, researchers conducted 40 qualitative interviews supplemented with descriptive quantitative surveys in Detroit, Michigan, as part of a community-based participatory research partnership of Community Action Against Asthma. Prevalence of chronic illness is noticeably higher among participants than the general US population. Caregivers identified stress processes that may influence disproportionate health outcomes and risk-related behaviors over their lifetime. Applying a life course perspective, findings suggest that public health interventions should address family-level comorbidities, increase instrumental social support, and acknowledge practical coping mechanisms.

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“…In the UK, specific subspeciality 'community paediatricians' exist and have a unique opportunity to develop and foster interagency relationships in schools and communities; with a holistic vision and a preventative orientation [39]. In the USA, the American Academy of Pediatrics (AAP) has emphasised the importance of the paediatrician's role to advocate for children, collaborate with other professionals and provide health care with the context of a community [40]. It would appear that Lucy may have Table 1…”

Section: Relationships Between Professionalsmentioning

confidence: 99%

Challenges and Solutions for the Safety of Children in the Community

Blair

Sayani

Wortley

2015

Curr Treat Options Peds

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Opinion statementTo truly understand the challenges and solutions of the safety of children in our community, we should be willing to embrace its complexity. Child safety itself goes further than some might conceive, encompassing the prevention of all types of injury: physical, emotional and psychological as well as interventions to promote resilience to harm. We believe child safety is a 'call to action' to paediatricians, government and society in general to advocate for children who remain vulnerable and often voiceless. We have chosen to take a narrative approach examining one particular case and have identified different preventable safety issues that occurred throughout her childhood. Acknowledging that early events have an impact later in the life course, we emphasise the importance of prompt early intervention and reflect on 'missed' opportunities for action. In particular, we have tried to use a holistic lens to view the case, exploring issues in the system around the child, in their family, school and the wider environment. In exploring the solutions to these issues, we look at three key areas (the 3 R approach): firstly, effective communication between professionals (relationships) and how this might be practically facilitated at ground level; secondly, how to best ensure protocols Patient Safety (P Lachman, Section Editor) (roadmaps) are followed wisely within an organisational and human behaviours framework; and finally, by putting the child at the centre (recognition), we can address the multiple issues affecting them and identify factors that build his/her own resilience. Child safety is a complex far reaching public health priority, which requires holistic ways of identifying safety issues, as well as practical solutions that support professionals and empower children and their families.

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The Pediatrician’s Role in Community Pediatrics

Cited by 85 publications

References 26 publications

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

A Life Course Perspective on Stress and Health Among Caregivers of Children With Asthma in Detroit

Challenges and Solutions for the Safety of Children in the Community

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