School-Age Children With Asthma and Their Parents: Relationships With Health Care Providers

2005 ◽  
Vol 28 (3) ◽  
pp. 153-162 ◽  
Author(s):  
Terry A. Buford
Author(s):  
Christy Pu ◽  
Yu-Chen Tseng ◽  
Gau-Jun Tang ◽  
Yen-Hsiung Lin ◽  
Chien-Heng Lin ◽  
...  

To investigate caregivers’ attitudes toward continuity of care (COC) and their willingness to maintain continuity for their children with asthma under a national health insurance (NHI) system without strict referral management. We sampled 825 individuals from six pediatric outpatient departments in different parts of Taiwan from 2017 to 2018. We used a contingent valuation with a payment card method. Post-stratification weighting adjustment and coarsened exact matching were utilized. Multiple logistic regression was used to compare the willingness to pay and spend extra time maintaining continuity by parents. More than 80% of caregivers in the asthma group believed having a primary pediatrician was important for children’s health. Only 27.5% and 15.8% of caregivers in the asthma and control groups, respectively, believed changing pediatricians would negatively affect therapeutic outcomes. Regression analysis showed that the predicted willingness to pay for the asthma and non-asthma groups were NT$508 (SD = 196) and NT$402 (SD = 172), respectively, and there was a significant positive dose–response relationship between household income and willingness to pay for maintaining health care provider continuity. Caregivers’ free choices among health care providers may reduce willingness to spend extra effort to maintain high COC. Caregivers should be educated on the importance of COC.


2018 ◽  
Vol 1 (2) ◽  
pp. 201
Author(s):  
Engkus Kusnadi

Introduction. The fear experienced by a child aged 4-6 years who were hospitalized from a few things, namely the procedure to the patient, lack of adequate information, the foreign environment and with the development of son, the team of health care providers (doctors, nurses, laboratory personnel). Play is the work of a child, wherever they are playing is a necessity. The purpose of this study was to identify the influence of normative play on fear reduction pre-school children were hospitalized. Methods. This study used a quasi experimental with one group pre-post design on a sample of 24 pre-school children who were treated at the General Hospital dr. Slamet Garut. Fear experienced by children will be measured using an instrument Revised Child Medical Fear Scale was modified. Results. The results showed that the average (mean) scale fear before normative play (16.58) was higher than the average scale normative scared after play (7.75) at pre-school age children. The results of hypothesis testing using a pair t test produces p value of 0.0005 (<0.05). Normative play has significant effect in reducing the fear of pre-school children who were treated in dr. Slamet Garut hospital. Discussion. Therefore the child care room should be equipped with a playroom for the children who were treated and play therapy should be used as a standard operating procedure in reducing the fear of going to be the action of nursing and other health actions.  Keywords: normative play, fear, pre-school age children


Public Health ◽  
2012 ◽  
Vol 126 (12) ◽  
pp. 1051-1057 ◽  
Author(s):  
M. Fagnano ◽  
E. Berkman ◽  
E. Wiesenthal ◽  
A. Butz ◽  
J.S. Halterman

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.


Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.


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