The Healthy Learner Model for Student Chronic Condition Management—Part II: The Asthma Initiative

2006 ◽  
Vol 22 (6) ◽  
pp. 319-329 ◽  
Author(s):  
Cecelia DuPlessis Erickson ◽  
Patricia L. Splett ◽  
Sara Stoltzfus Mullett ◽  
Charlotte Jensen ◽  
Stephanie Bisson Belseth
Keyword(s):  
Health Care Providers ◽  
Chronic Condition ◽  
School Health ◽  
School Setting ◽  
Asthma Management ◽  
Professional School ◽  
Care Providers ◽  
Asthma Care ◽  
Learner Model ◽  
Positive Effects

The Healthy Learner Asthma Initiative (HLAI) was designed as a comprehensive, school-community initiative to improve asthma management and produce healthy learners. National asthma guidelines were translated into components of asthma management in the school setting that defined performance expectations and lead to greater quality and consistency of asthma care. The HLAI incorporated evidence-based practice and introduced the role of the asthma resource nurse. Leadership, capacity building, and strong partnerships among school nurses, students, families, and health care providers were essential to the implementation and sustainability of the HLAI. Professional school nursing and evaluation were defined as key requisites to a successful initiative. Evaluation results indicated positive effects on nursing practice, fewer asthma visits to the health office, and better attendance among students who received asthma care in the school health office. The HLAI provided the basis for development of the Healthy Learner Model for Student Chronic Condition Management.

scholarly journals Building Bridges for Asthma Care Program: A School-Centered Program Connecting Schools, Families, and Community Health-Care Providers

2018 ◽  
Vol 36 (3) ◽  
pp. 168-180 ◽  
Author(s):  
Lisa Cicutto ◽  
Melanie Gleason ◽  
Christy Haas-Howard ◽  
Marty White ◽  
Jessica P. Hollenbach ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Providers ◽  
Asthma Management ◽  
Care Program ◽  
Health Providers ◽  
Care Providers ◽  
Coordinated Care ◽  
Asthma Care ◽  
Care Plans

Asthma imposes tremendous burden on children, families, and society. Successful management requires coordinated care among children, families, health providers, and schools. Building Bridges for Asthma Care Program, a school-centered program to coordinate care for successful asthma management, was developed, implemented, and evaluated. The program consists of five steps: (1) identify students with asthma; (2) assess asthma risk/control; (3) engage the family and student at risk; (4) provide case management and care coordination, including engagement of health-care providers; and (5) prepare for next school year. Implementation occurred in 28 schools from two large urban school districts in Colorado and Connecticut. Significant improvements were noted in the proportions of students with completed School Asthma Care Plans, a quick-relief inhaler at school, Home Asthma Action/Treatment Plans and inhaler technique ( p < .01 for all variables). Building Bridges for Asthma Care was successfully implemented extending asthma care to at-risk children with asthma through engagement of schools, health providers, and families.

User Fees for Health Care: Why a Bad Idea Keeps Coming Back (Or, What's Health Got to Do With It?)

1995 ◽  
Vol 14 (2) ◽  
pp. 360-390 ◽  
Author(s):  
Robert G. Evans ◽  
Morris L. Barer ◽  
Greg L. Stoddart
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care Costs ◽  
Health Care Providers ◽  
Final Analysis ◽  
User Fees ◽  
Care Providers ◽  
Positive Effects ◽  
The Face ◽  
Care Costs

ABSTRACTCalls for user fees in Canadian health care go back as far as the debate leading up to the establishment of Canada's national hospital insurance program in the late 1950s. Although the rationales have shifted around somewhat, some of the more consistent claims have been that user fees are necessary as a source of additional revenue for a badly underfunded system, that they are necessary to control runaway health care costs, and that they will deter unnecessary use (read abuse) of the system. But the real reasons that user fees have been such hardy survivors of the health policy wars, bear little relation to the claims commonly made for them. Their introduction in the financing of hospital or medical care in Canada would be to the benefit of a number of groups, and not just those one usually thinks of. We show that those who are healthy, and wealthy, would join health care providers (and possibly insurers) as net beneficiaries of a reintroduction of user fees for hospital and medical care in Canada. The flip side of this is that those who are indigent and ill will bear the brunt of the redistribution (for that is really what user fees are all about), and seniors feature prominently in those latter groups. Claims of other positive effects of user fees, such as reducing total health care costs, or improving appropriateness or accessibility, simply do not stand up in the face of the available evidence. In the final analysis, therefore, whether one is for or against user fees reduces to whether one is for or against the resulting income redistribution.

Understanding the Use of Antiretroviral Drugs in the Aging Patient

2017 ◽  
Author(s):  
Brandon H. Samson ◽  
James D. Scott
Keyword(s):  
Health Care ◽  
Drug Interactions ◽  
Health Care Providers ◽  
Bone Health ◽  
Older Patients ◽  
Viral Suppression ◽  
Antiretroviral Drugs ◽  
Care Providers ◽  
Negative Effects ◽  
Positive Effects

The prevalence of HIV infection is increasing in the older population. Because of other comorbidities, older patients infected with HIV may be taking multiple medications, which increases the risk of drug–drug interactions. Treatment of HIV in aging patients is based on the consideration of adverse effects associated by antiretroviral therapy (ART) with regard to renal, hepatic, cardiovascular, metabolic, and bone health, as well as the potential for increased drug–drug interactions. Because ART is associated with both beneficial and deleterious effects, health care providers should weigh the negative effects against the positive effects of viral suppression. Health care providers should routinely review patients’ medication lists to search for significant drug–drug interactions and perform drug interaction checks using available resources.

scholarly journals Education Policy for Migrant Children in Thailand and How It Really Happens; A Case Study of Ranong Province, Thailand

2019 ◽  
Vol 16 (3) ◽  
pp. 430 ◽  
Author(s):  
Titiporn Tuangratananon ◽  
Rapeepong Suphanchaimat ◽  
Sataporn Julchoo ◽  
Pigunkaew Sinam ◽  
Weerasak Putthasri
Keyword(s):  
Public Schools ◽  
Education Policy ◽  
Health Care Providers ◽  
School Health ◽  
Formal Education ◽  
Culturally Sensitive ◽  
Migrant Children ◽  
Care Providers ◽  
Cross Sectional ◽  
Thai Government

Health and education are interrelated, and it is for this reason that we studied the education of migrant children. The Thai Government has ratified ‘rights’ to education for all children in Thailand since 2005. However, there are gaps in knowledge concerning the implementation of education policy for migrants, such as whether and to what extent migrant children receive education services according to policy intentions. The objective of this study is to explore the implementation of education policy for migrants and the factors that determine education choices among them. A cross-sectional qualitative design was applied. The main data collection technique was in-depth interviews with 34 key informants. Thematic analysis with an intersectionality approach was used. Ranong province was selected as the main study site. Results found that Migrant Learning Centers (MLCs) were the preferable choice for most migrant children instead of Thai Public Schools (TPSs), even though MLCs were not recognized as formal education sites. The main reason for choosing MLCs was because MLCs provided a more culturally sensitive service. Teaching in MLCs was done in Myanmar’s language and the MLCs offer a better chance to pursue higher education in Myanmar if migrants migrate back to their homeland. However, MLCs still face budget and human resources inadequacies. School health promotion was underserviced in MLCs compared to TPSs. Dental service was underserviced in most MLCs and TPSs. Implicit discrimination against migrant children was noted. The Thai Government should view MLCs as allies in expanding education coverage to all children in the Thai territory. A participatory public policy process that engages all stakeholders, including education officials, health care providers, Non-Governmental Organizations (NGOs), MLCs’ representatives, and migrants themselves is needed to improve the education standards of MLCs, keeping their culturally-sensitive strengths.

scholarly journals Start making sense: Art informing health psychology

2018 ◽  
Vol 5 (1) ◽  
pp. 205510291876004 ◽  
Author(s):  
Ad A Kaptein ◽  
Brian M Hughes ◽  
Michael Murray ◽  
Joshua M Smyth
Keyword(s):  
Health Psychology ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Expressive Writing ◽  
Medical Training ◽  
Self Regulation ◽  
Potential Contribution ◽  
Care Providers ◽  
Positive Effects

Growing evidence suggests that the arts may be useful in health care and in the training of health care professionals. Four art genres – novels, films, paintings and music – are examined for their potential contribution to enhancing patient health and/or making better health care providers. Based on a narrative literature review, we examine the effects of passive (e.g. reading, watching, viewing and listening) and active (e.g. writing, producing, painting and performing) exposure to the four art genres, by both patients and health care providers. Overall, an emerging body of empirical evidence indicates positive effects on psychological and physiological outcome measures in patients and some benefits to medical training. Expressive writing/emotional disclosure, psychoneuroimmunology, Theory of Mind and the Common Sense Model of Self-Regulation are considered as possible theoretical frameworks to help incorporate art genres as sources of inspiration for the further development of health psychology research and clinical applications.

scholarly journals Cyberbullying in Children and Youth: Implications for Health and Clinical Practice

2016 ◽  
Vol 62 (6) ◽  
pp. 368-373 ◽  
Author(s):  
Tracy Vaillancourt ◽  
Robert Faris ◽  
Faye Mishna
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Providers ◽  
Recent Literature ◽  
School Setting ◽  
Routine Screening ◽  
Children And Youth ◽  
Care Providers ◽  
Key Points ◽  
Intimate Knowledge

We review the recent literature on cyberbullying and its effects on victimised youth, identifying key points. We conclude that cyberbullying, while following many of the underlying dynamics of more traditional forms of bullying, features some unique qualities that can both magnify the damage caused and make it more difficult to detect. These features include the pervasive, never-ending nature of cyberbullying and the ability to quickly reach large audiences. The potential for anonymity and the related distance afforded by screens and devices compared to in-person interaction allow the cruelty of cyberbullying to go unchecked. Despite the perceived anonymity of cyberbullying, cyberbullying can be perpetrated by friends, who often have intimate knowledge about the victimised youth that can be devastating when made public. Given the difficulty schools face in preventing or even detecting cyberbullying, health care providers are an important ally, due to their knowledge of the youth, the sense of trust they bring to youth, and their independence from the school setting. We conclude by calling for routine screening of bullying by health care providers who deal with paediatric populations.

scholarly journals Health Care Providers’ Awareness on Medical Management of Children With Autism Spectrum Disorder: Cross-Sectional Study in Russia

2020 ◽  
Author(s):  
Yana Mukhamedshina ◽  
Rezeda Fayzullina ◽  
Irina Nigmatullina ◽  
Catrin Rutland ◽  
Veronika Vasina
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorder ◽  
Health Care Providers ◽  
Medical Management ◽  
Online Survey ◽  
Autism Spectrum ◽  
Repetitive Behaviors ◽  
Spectrum Disorder ◽  
Care Providers ◽  
Positive Effects

Abstract Background: Autism spectrum disorder (ASD) is a complex developmental range of conditions that involves difficulties with social interaction and restricted/repetitive behaviors. Unfortunately, health care providers often experience difficulties in diagnosis and management of individuals with ASD and may have no knowledge about possible ways to overcome barriers in ASD patient interactions in healthcare settings. At the same time, the provision of appropriate medical services can have positive effects on habilitative progress, functional outcome, life expectancy and quality of life for individuals with ASD.Methods: This online survey designed research study evaluated the awareness and experience of students/residents (n=247) and physicians (n=100) in medical management of children with ASD, as well as the views and experiences of caregivers of children on the autism spectrum (n=158), all based in Russia.Results: We have established that the Russian medical community has limited ASD knowledge among providers, and have suggested possible reasons for this. Based on the online survey of students/residents, non-psychiatric physicians and caregivers of children diagnosed with ASD, the main problems pertaining to medical management of individuals with ASD were identified, and possible problem solving solutions within medical practice were proposed.Conclusions: Results of this study should be considered both when implementing measures to improve healthcare practices, and in developing models of effective medical management due to start in not only in Russia but also in a number of other countries.

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