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Author: Newacheck, Paul W.
Resulting in 2 citations.
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Halfon, Neal Newacheck, Paul W. |
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Evolving Notions of Childhood Chronic Illness: Editorial Journal of the American Medical Association 303,7 (February 17, 2010): 665-666. Also: http://jama.ama-assn.org/content/303/7/665.extract Cohort(s): Children of the NLSY79 Publisher: JAMA: Journals of the American Medical Association Keyword(s): Asthma; Behavioral Problems; Body Mass Index (BMI); Child Health; Health/Health Status/SF-12 Scale; Illnesses; Obesity; Weight Permission to reprint the abstract has not been received from the publisher. [[JAMA has] provided the first 150 words of the full text.] In this issue of JAMA, Van Cleave and colleagues 1 present an analysis of 3 cohorts of children spanning 1988 to 2006 included in the National Longitudinal Survey of Youth (NLSY). The authors report that the prevalence of several categories of chronic illness in childhood is increasing and that these conditions arise, continue, or resolve in a highly dynamic fashion. Both findings have important implications and raise a number of significant questions. The more than doubling in prevalence of chronic conditions reported by the authors is consistent with an increasing body of evidence documenting a historic shift in the epidemiology of child health—from acute to chronic illnesses—that began at least 50 years ago. Indeed, while mortality rates, hospitalizations for common acute conditions and injuries, and school absence days due to illness were declining, the prevalence of chronic conditions severe enough to cause some level … |
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Bibliography Citation
Halfon, Neal and Paul W. Newacheck. "Evolving Notions of Childhood Chronic Illness: Editorial." Journal of the American Medical Association 303,7 (February 17, 2010): 665-666.
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Newacheck, Paul W. Starfield, Barbara |
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Monitoring Changes in Health Care for Children and Families In: Integrating Federal Statistics on Children: Report of a Workshop. Committee on National Statistics and Board on Children and Families, ed. Washington, DC: National Academy Press, 1995: pp. 156-191. Also: http://www.nap.edu/books/0309052491/html Cohort(s): Children of the NLSY79 Publisher: National Academy Press Keyword(s): Child Health; Children, Illness; Health Care; Health Reform; Overview, Child Assessment Data EXCERPT FROM INTRODUCTION: Monitoring and evaluating the changes that accompany health care and reforms for children, their families, and the health care system that serves them presents a formidable challenge. Fortunately, the United States possesses a system for collecting and disseminating health statistics that is the envy of most other developed countries. Even so, our health statistics programs were not designed for the purpose of monitoring and evaluating health care reform. Consequently, an assessment of their utility for this purpose is in order. In doing so, it is important to keep in mind that changes in the health care system will not affect all populations in the same manner. Children's health needs and provider networks differ from those of adults. Children's illnesses and injuries are diagnosed in the context of rapid growth and developmental processes that have no counterparts in adults. Their physiological, cognitive, and emotional maturation makes children uniquely vulnerable to certain illnesses. Their developmental vulnerabilities require heightened attention to preventative care and early diagnosis and treatment of their disorders (Jamesone and Wehr, 1993). Assessment of the current federal health statistics programs and the design of mechanisms for monitoring the effects of changes in the system must take into account these differences. |
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Bibliography Citation
Newacheck, Paul W. and Barbara Starfield. "Monitoring Changes in Health Care for Children and Families" In: Integrating Federal Statistics on Children: Report of a Workshop. Committee on National Statistics and Board on Children and Families, ed. Washington, DC: National Academy Press, 1995: pp. 156-191.
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