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Well Child Care in Infancy: Promoting Readiness for Life - Couverture souple

Pittard III, William B.

 
9781481752411: Well Child Care in Infancy: Promoting Readiness for Life

Synopsis

Well child care is designed to promote optimal health status for children, including school and life success. This preventive care includes anticipatory guidance; continuity of care; assessment of growth and development; screening procedures for vision, hearing, dental, and cognitive development; and immunizations. Anticipatory guidance provides parental health education, counseling, and reassurance. The vast majority of Medicaid-insured children receive fewer than the American Academy of Pediatrics (AAP) recommended number of well child visits in the preschool years, and a disproportionate number of children have poor health and lack school readiness. With little empirical data available indicating clinical effectiveness other than for immunizations, the AAP recommendations for well child care were originally based on consensus expert opinion, and more than three decades later, documentation of effectiveness remained unavailable. This information gap led policymakers to question the value of well child care and limited incentive to correct its underuse. Only in the last five years have experimental findings indicated an association between well child care and both more cost efficient health care and increased school readiness. Awareness of these findings by insurance company and Medicaid administrators is limited. The purpose for this book is to increase awareness by all stakeholders of the empirically determined clinical effectiveness of well child care. The short-term goal is to facilitate increased utilization of well child care, with a longer term goal of improved child health and life success.

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Biographie de l'auteur

Dr. Pittard received his MD from the University of Virginia and is board certified in pediatrics and the sub-board of neonatal-perinatal medicine. He also has a master of public health degree in maternal and child health and a PhD in health services and policy management. He has served for more than thirty-five years in academic pediatrics at Case Western Reserve University (1976-1985) and the Medical University of South Carolina (1985-present). For more than fifteen years, he was the director of neonatology and since retirement July 1, 2013, has served as Professor Emeritus of Pediatrics at MUSC. He has four children, and his experience and interest in the public health issues of children is reflected by his publications, most recently describing the association between well child care in the preschool years and both health status and readiness for school by South Carolina Medicaid-insured children. Dr. Roberts received his MD at Texas Tech University Health Sciences Center, completed his residency at the Medical College of Georgia, and did a general pediatric fellowship along with a master of public health in maternal and child health degree at the University of Alabama at Birmingham. He is a professor of pediatrics in the Division of General Pediatrics at the Medical University of South Carolina in Charleston. He is actively involved in patient care, teaching, and clinical investigation. Dr. Roberts is the director of the South Carolina Pediatric Practice Research Network and has co-authored more than forty peer-reviewed publications. On environmental health issues, he is nationally recognized as an expert. Dr. Roberts lives in Daniel Island, South Carolina, and enjoys spending time with his wife and two sons. He is an avid basketball player and ran his first half marathon at age forty-six. Dr. Gustafson received her MD at Southern Illinois University and her master of clinical research at the Medical Universit

Présentation de l'éditeur

Well child care is designed to promote optimal health status for children, including school and life success. This preventive care includes anticipatory guidance; continuity of care; assessment of growth and development; screening procedures for vision, hearing, dental, and cognitive development; and immunizations. Anticipatory guidance provides parental health education, counseling, and reassurance. The vast majority of Medicaid-insured children receive fewer than the American Academy of Pediatrics (AAP) recommended number of well child visits in the preschool years, and a disproportionate number of children have poor health and lack school readiness. With little empirical data available indicating clinical effectiveness other than for immunizations, the AAP recommendations for well child care were originally based on consensus expert opinion, and more than three decades later, documentation of effectiveness remained unavailable. This information gap led policymakers to question the value of well child care and limited incentive to correct its underuse. Only in the last five years have experimental findings indicated an association between well child care and both more cost efficient health care and increased school readiness. Awareness of these findings by insurance company and Medicaid administrators is limited. The purpose for this book is to increase awareness by all stakeholders of the empirically determined clinical effectiveness of well child care. The short-term goal is to facilitate increased utilization of well child care, with a longer term goal of improved child health and life success.

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