Ambulatory Child Health最新文献_第9页

Sexual health services: what do teenagers want? 性健康服务:青少年想要什么?

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1046/j.1467-0658.2000.00090.x

Andrew Wilson, Rosemary Williams

{"title":"Sexual health services: what do teenagers want?","authors":"Andrew Wilson, Rosemary Williams","doi":"10.1046/j.1467-0658.2000.00090.x","DOIUrl":"10.1046/j.1467-0658.2000.00090.x","url":null,"abstract":"<div>\u0000 \u0000 Background Multi-agency approaches based on assessment of local need have been recommended to reduce the incidence of teenage pregnancy. This paper explores the views of local teenagers on current and future provision of sexual health services in one part of Leicester, UK.\u0000 Aim To examine current provision and the views of teenagers on how these could be improved.\u0000 Method A questionnaire was developed from literature review and focus group interviews. It was administered to 13–16-year-olds in two schools, and by post to 16–19-year-olds, using the age-sex registers of five of the seven local practices.\u0000 Results Of the 399 school attenders aged 13–16 years sampled, 394 (98.7%) completed the questionnaire. The postal questionnaire was sent to 1255 teenagers aged 16–19 years. After removal of wrong addresses, the response rate was 317 of 1213 (26.1%). In total, 711 people completed the questionnaire, of whom 459 (64.6%) were male. General practitioners and pharmacists were the main suppliers of contraception for females and males, respectively, with lack of awareness of the range and location of sexual health services. Major barriers included fears about embarrassment, confidentiality and being examined, especially in general practice.\u0000 Conclusions Our results suggest that in this locality, the priority should be informing teenagers about existing services, and ensuring confidentiality is both practised and publicised. A leaflet to this effect has been produced and disseminated.\u0000 Implications for practice Qualitative and quantitative methods are helpful in assessing local need for teenage services and in directing their development.\u0000 </div>","PeriodicalId":100075,"journal":{"name":"Ambulatory Child Health","volume":"6 4","pages":"253-260"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1467-0658.2000.00090.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75670866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

A personal child health record for children with a disability 残疾儿童的个人儿童健康记录

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1046/j.1467-0658.2000.00091.x

John Moore, Annette Brindle, Paramjit Goraya, Sarah Monk, Deanne Rennie, Rashmin Tamhne, Jennifer Watterson, David Stretch

{"title":"A personal child health record for children with a disability","authors":"John Moore, Annette Brindle, Paramjit Goraya, Sarah Monk, Deanne Rennie, Rashmin Tamhne, Jennifer Watterson, David Stretch","doi":"10.1046/j.1467-0658.2000.00091.x","DOIUrl":"10.1046/j.1467-0658.2000.00091.x","url":null,"abstract":"<div>\u0000 \u0000 Objectives To test whether a child health record designed for preschool children with a disability would: (a) be used; (b) be valued by carers; (c) change the perception of the health care received by the child; or (d) influence the amount of communication between the family and a professional who is seeing their child.\u0000 Methods Ninety-nine families participated, and of these, 67 received the record as the intervention and 32 were controls. After use, copies of the record were examined, and carers completed a satisfaction questionnaire. The families were randomized into three groups for two-phase controlled questionnaire studies to measure changes in the families' perception of their child's health care and the degree of communication between the family and the professional.\u0000 Results Satisfaction questionnaires were returned by 53 (79%) of those who received a record, and most of the responses were favourable. Of the 39 (58%) who returned copies, nearly all had made some use of the record, and 24 had made entries in its diary section. There was no accompanying change that could be measured in the perception of the child's health care or in the amount of communication between families and professionals.\u0000 Conclusions Those who participated in this small study appreciated the new disability section added to the standard child health record. Copies returned for inspection had nearly all been used. The lack of a detectable change in the family's perception of their child's health care or in communication between families and professionals suggests that the value of the record is limited to its use as an aide-mèmoire.\u0000 </div>","PeriodicalId":100075,"journal":{"name":"Ambulatory Child Health","volume":"6 4","pages":"261-267"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1467-0658.2000.00091.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77103205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

HIV in primary care: an educational initiative for child health providers 初级保健中的艾滋病毒:针对儿童保健提供者的教育倡议

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1046/j.1467-0658.2001.00102.x

Christopher J Stille, Virginia Berrien, Peter J Krause

{"title":"HIV in primary care: an educational initiative for child health providers","authors":"Christopher J Stille, Virginia Berrien, Peter J Krause","doi":"10.1046/j.1467-0658.2001.00102.x","DOIUrl":"10.1046/j.1467-0658.2001.00102.x","url":null,"abstract":"<div>\u0000 \u0000 Background With recent progress in controlling HIV disease in children, infected children are living longer than ever before. Their health care needs include health supervision services, such as developmental monitoring and anticipatory guidance, which are best provided by child health providers (Providers). Providers need to know about the care of children with HIV infection in order to provide optimal health supervision services.\u0000 Objective To design a curriculum to educate providers about the care of children with HIV infection, targeted to the needs of local providers.\u0000 Setting The primary care centre of an urban children's hospital in Connecticut during 1997–98.\u0000 Intervention We observed clinical cases; conducted a needs assessment, including discussions with providers and a review of educational resources; and held discussions with infectious disease subspecialists. From these, we designed a series of seminars covering individual topics generated mainly by providers. We then conducted a grand rounds lecture to cover the topics more broadly. All participants received a booklet covering the topics discussed.\u0000 Impact Providers received the sessions well. Self-reporting suggested changes in their care of children with HIV infection, including increased confidence in decision-making about routine health issues, more aggressive immunization, and better coordination of care with subspecialists. Many suggestions for further sessions were generated.\u0000 Conclusion An educational program tailored to the needs of local child health providers may be helpful in the care of their patients with HIV infection. This program can promote high-quality, co-ordinated care for the complex needs of these patients.\u0000 </div>","PeriodicalId":100075,"journal":{"name":"Ambulatory Child Health","volume":"7 1","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1467-0658.2001.00102.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80248923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention of child sexual abuse: implications of programme evaluation research 预防儿童性虐待:方案评价研究的影响

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1111/j.1467-0658.2000.093-2.pp.x

Rosalyn Proops

引用次数: 1

Study of patient clues and physician responses in primary care and surgical settings. 在初级保健和外科设置病人线索和医生反应的研究。

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1111/j.1467-0658.2001.0106g.pp.x

Frances Page Glascoe

引用次数: 4

Time in bed, quality of sleep and school functioning of children 儿童的睡眠时间、睡眠质量和学习功能

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1111/j.1467-0658.2000.93-17.pp.x

引用次数: 0

Is a universal school entry hearing screen worthwhile? 普及入学听力筛查是否值得?

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1046/j.1467-0658.2000.00089.x

Ruth E Henderson, Nancy Newton

{"title":"Is a universal school entry hearing screen worthwhile?","authors":"Ruth E Henderson, Nancy Newton","doi":"10.1046/j.1467-0658.2000.00089.x","DOIUrl":"10.1046/j.1467-0658.2000.00089.x","url":null,"abstract":"Objectives To assess the effectiveness of a universal school entry hearing screen (sweep audiogram). Methods Information was obtained from the audiology service and Community Child Health records, if available, for children who had an abnormality detected by the screen. Questionnaires were sent to general practitioners to enquire about the subsequent management. Results Of the 4501 children screened, an abnormality was detected in 227 children. The yield for new, clinically significant bilateral sensorineural hearing losses requiring aiding was nil, whereas that for new [i.e. previously unknown to the Ear, Nose and Throat (ENT) department], significant cases of conductive hearing loss requiring surgical management was 0.5%. The response rate from the questionnaire was 81.3%. Eighty children were referred to ENT with a range of hearing loss of 11–50 decibels (dBHL) better ear average. This resulted in surgical management in 52. Conclusion We found a small yield from the school entry screen, and, with a robust preschool service in place and effective reactive system for testing school age children, there may be justification for dismantling the school entry screen.","PeriodicalId":100075,"journal":{"name":"Ambulatory Child Health","volume":"6 4","pages":"247-252"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1467-0658.2000.00089.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78442030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethnicity and placement: beginning the debate 种族和位置:开始辩论

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1046/j.1467-0658.2000.00093-9.x

Rosalyn Proops

引用次数: 3

Sleep and psychiatric symptoms in school-age children 学龄儿童的睡眠与精神症状

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1046/j.1467-0658.2000.00093-19.x

引用次数: 0

Why reduce health inequalities? 为什么要减少卫生不平等?

Ambulatory Child Health Pub Date : 2008-06-28 DOI: 10.1111/j.1467-0658.2001.0106m.pp.x

Richard Reading

引用次数: 1