Integrating Health Care Strategies to Prevent Poverty-Related Disparities in Development and Growth: Addressing Core Outcomes of Early Childhood

Abstract Background Universal health care (UHC) may assist families whose children are most prone to early childhood caries (ECC) in accessing dental treatment and prevention. The purpose of this study was to determine the association between UHC, health expenditure and the global prevalence of ECC. Methods Health expenditure as percentage of gross domestic product, UHC service coverage index, and the percentage of 3–5-year-old children with ECC were compared among countries with various income levels using one-way analysis of variance (ANOVA). Three linear regression models were developed, and each was adjusted for the country income level with the prevalence of ECC in 3–5-year-old children being the dependent variable. In model 1, UHC service coverage index was the independent variable whereas in model 2, the independent variable was the health expenditure as percentage of GDP. Model 3 included both independent variables together. Regression coefficients (B), 95% confidence intervals (CIs), P values, and partial eta squared (ƞ2) as measure of effect size were calculated. Results Linear regression including both independent factors revealed that health expenditure as percentage of GDP (P < 0.0001) was significantly associated with the percentage of ECC in 3–5-year-old children while UHC service coverage index was not significantly associated with the prevalence of ECC (P = 0.05). Every 1% increase in GDP allocated to health expenditure was associated with a 3.7% lower percentage of children with ECC (B = − 3.71, 95% CI: − 5.51, − 1.91). UHC service coverage index was not associated with the percentage of children with ECC (B = 0.61, 95% CI: − 0.01, 1.23). The impact of health expenditure on the prevalence of ECC was stronger than that of UHC coverage on the prevalence of ECC (ƞ2 = 0.18 vs. 0.05). Conclusions Higher expenditure on health care may be associated with lower prevalence of ECC and may be a more viable approach to reducing early childhood oral health disparities than UHC alone. The findings suggest that currently, UHC is weakly associated with lower global prevalence of ECC.

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Nursing care in early childhood: contributions from intersubjective recognition

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0319 ◽

2017 ◽

Vol 70 (2) ◽

pp. 446-450 ◽

Cited By ~ 2

Author(s):

Débora Falleiros de Mello ◽

Monika Wernet ◽

Maria de La Ó Ramallo Veríssimo ◽

Vera Lúcia Pamplona Tonete

Keyword(s):

Health Care ◽

Early Childhood ◽

Child Health ◽

Nursing Care ◽

Interpersonal Relations ◽

Nursing Knowledge ◽

Development Method ◽

Positive Individual ◽

Comprehensive Development ◽

Social Esteem

ABSTRACT Objective: to understand the elements composing intersubjective recognition that are relevant for nursing care in early childhood in favor of comprehensive child development. Method: reflexive study based on the Honnethian concept of intersubjective recognition in the dimensions of affection, defense of rights, and social esteem. Results: nursing knowledge and practices, permeated by the intersubjective recognition in the mentioned dimensions, contribute to the dynamism of interpersonal relations, the production of co-responsibility, and shared construction of health care in early childhood, with benefits to comprehensive development. Conclusion: a successful coordination of the three intersubjective dimensions enables the expansion of the understanding on childhood and nursing care in child health in the field of human development promotion, covering affection, defense of rights, and social esteem in the established relationships with future positive individual and social possibilities.

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Health Care Strategies

SpringerBriefs in Public Health - From Justice to Protection ◽

10.1007/978-1-4614-2026-2_8 ◽

2011 ◽

pp. 71-82

Author(s):

Miguel Kottow

Keyword(s):

Health Care ◽

Health Care Strategies

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Preventive health care strategies for children

Eastern Mediterranean Health Journal ◽

10.26719/1998.4.3.430 ◽

1998 ◽

Vol 4 (3) ◽

pp. 430-436

Author(s):

M. Gabr

Keyword(s):

Health Care ◽

Preventive Health Care ◽

Preventive Health ◽

Health Care Strategies

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Implementing Community-Based Systems of Services for Children and Youths With Special Health Care Needs: How Well Are We Doing?

PEDIATRICS ◽

10.1542/peds.113.s4.1538 ◽

2004 ◽

Vol 113 (Supplement_4) ◽

pp. 1538-1544 ◽

Cited By ~ 22

Author(s):

Merle McPherson ◽

Gloria Weissman ◽

Bonnie B. Strickland ◽

Peter C. van Dyck ◽

Stephen J. Blumberg ◽

...

Keyword(s):

Health Care ◽

Transition To Adulthood ◽

Special Health Care Needs ◽

Core Outcome ◽

Health Care Needs ◽

Care Needs ◽

Special Health Care ◽

The Core ◽

Core Outcomes ◽

Special Health

Objective. To provide a baseline measure of the proportion of US children who meet the Maternal and Child Health Bureau's core outcomes for children with special health care needs (CSHCN). Those core outcomes include the following: 1) families of CSHCN will partner in decision making and will be satisfied with the services that they receive; 2) CSHCN will receive coordinated, ongoing comprehensive care within a medical home; 3) families of CSHCN will have adequate private and/or public insurance to pay for the services that they need; 4) children will be screened early and continuously for special health care needs; 5) community-based service systems will be organized so that families can use them easily; and 6) youths with special health care needs will receive the services necessary to make transitions to adult life, including adult health care, work, and independence. Methods. A national household survey was conducted using telephone interviews. We analyzed data on 38 866 CSHCN included in the 2001 National Survey of CSHCN and 13 579 children included in the 2001 National Health Interview Survey. We assessed the proportion of US children who met each of the 6 core outcomes for CSHCN using data from 2 surveys. Results. Success rates ranged from 6% (the core outcome on successful transition to adulthood) to 74% (the core outcome on organization of the service system). For 5 of the 6 core outcomes, success rates exceeded 50%. Conclusion. Our results indicate that, for the most part, the United States is well positioned to meet the 6 core outcomes. However, much more work lies ahead before success can be claimed. This is especially true for the core outcome on transition to adulthood, for which only 6% of children in the target population are now meeting this goal.

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