Academic Pediatrics最新文献_第2页

Achieving Integrated Healthcare in Suicide Prevention: Universal Suicide Risk Screening in Clinical Practice.

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-28 DOI: 10.1016/j.acap.2024.102615

Lisa M Horowitz, Ritika Merai, Tesia Shi, Michael Schoenbaum, Deborah J Snyder, Khyati Brahmbhatt, Jeffery A Bridge, Maryland Pao

引用次数: 0

Exploration of What Pediatric Residents Find Most Helpful from Their Programs in Facilitating Well-Being.

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-26 DOI: 10.1016/j.acap.2024.102607

Nimisha Bajaj, Suzanne M Reed, Ross E Myers, John D Mahan, Keith Ponitz

{"title":"Exploration of What Pediatric Residents Find Most Helpful from Their Programs in Facilitating Well-Being.","authors":"Nimisha Bajaj, Suzanne M Reed, Ross E Myers, John D Mahan, Keith Ponitz","doi":"10.1016/j.acap.2024.102607","DOIUrl":"https://doi.org/10.1016/j.acap.2024.102607","url":null,"abstract":"Objective: Burnout is highly prevalent among residents, and although many studied interventions have targeted burnout by trying to promote well-being, it remains a substantial problem. This study utilized data from the Pediatric Resident Burnout-Resilience Study Consortium (PRB-RSC) Annual Burnout Survey to determine which program interventions categorical and non-categorical (medicine-pediatrics and combined programs) pediatric residents found most helpful to promote well-being.Methods: We conducted a secondary analysis of an open-ended question on the PRB-RSC Annual Burnout Survey in 2019 and 2020: \"What is the most helpful thing that your program provides you for wellness?\" We performed thematic and content analysis on open-ended responses and compared distribution of themes and subthemes between years using a Chi-squared test.Results: In 2019, 1401 (44%) of 3159 residents from 44 programs responded to the open-ended question, with 771 (49%) of 1563 residents from 21 programs responding in 2020. Residents found wellness interventions within five themes to be the most helpful. Promotes Positive Work Environment and Optimizes Scheduling were mentioned most frequently, but residents also valued when a program Facilitates Traditional Wellness Interventions, Offers Financial Benefits, and Prioritizes Education. Themes and subthemes were mentioned with the same frequency in both 2019 and 2020.Conclusions: The results of this study show which institutional interventions residents have found to be most helpful to their well-being. Program leaders can use this data as a framework to discuss interventions with their residents, allowing them to tailor wellness programs and use limited available resources for what residents believe is most impactful.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102607"},"PeriodicalIF":3.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Rise of Pediatric Inpatient Social Needs Screening and Referral Systems. 儿科住院病人社会需求筛查和转介系统的兴起。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-23 DOI: 10.1016/j.acap.2024.102612

Jana C Leary, Christopher P Landrigan, Arvin Garg

引用次数: 0

An update on the impact of the COVID-19 pandemic on children's health behaviors. COVID-19 大流行对儿童健康行为影响的最新情况。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-23 DOI: 10.1016/j.acap.2024.102613

Sarah L Maxwell, Alicia Fernandez, Suzanna Martinez, Amy L Beck

引用次数: 0

Predicting Emotional Well-Being in Caregivers of Children with More Complex Special Healthcare Needs. 预测有更复杂特殊医疗需求儿童的照顾者的情感健康状况。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-23 DOI: 10.1016/j.acap.2024.102611

Kevin H Huynh, Gina McKernan, Amy Houtrow, Justin Yu

{"title":"Predicting Emotional Well-Being in Caregivers of Children with More Complex Special Healthcare Needs.","authors":"Kevin H Huynh, Gina McKernan, Amy Houtrow, Justin Yu","doi":"10.1016/j.acap.2024.102611","DOIUrl":"https://doi.org/10.1016/j.acap.2024.102611","url":null,"abstract":"Objective: Identify factors associated with reduced emotional well-being (EWB) among family caregivers of children with more complex special health care needs (SHCN).Methods: We applied gradient boosted trees (GBTs) to the 2016-2021 National Survey of Children's Health to identify factors associated with questions assessing (1) global mental health, (2) parental coping, and (3) parental aggravation among family caregivers of children with more complex SHCN. We then conducted adjusted logistic regression and post-hoc margins analyses to describe the relationships between GBT-identified factors and caregiver EWB outcomes.Results: Our GBT models' area under the curve (AUC) scores ranged from 0.69-0.77. Among our sample, (1) caregiver reported lack of emotional support, (2) increased levels of frustration and effort in getting their child needed health services, and (3) the presence of child emotional and behavioral conditions were factors associated with reduced caregiver EWB. In margins analyses of adjusted regression models, GBT-identified factors were associated with significantly higher likelihoods of adverse caregiver EWB outcomes. For example, compared to caregivers who reported a source of emotional support, the predicted probabilities of experiencing poor/fair mental health (13.7% vs. 7.8%), reduced parental coping (8.0% vs. 2.1%), and frequently feeling bothered by (9.9% vs. 5.4%) and angry with (3.5% vs. 1.5%) their child were higher among caregivers who lacked emotional support.Conclusion: In addition to enhanced care coordination support, future efforts aiming to improve well-being among family caregivers of children with more complex SHCN could consider targeting caregiver emotional support and/or treatment of child emotional and behavioral conditions.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102611"},"PeriodicalIF":3.0,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variability in Invasive Bacterial Infection Proportions Among Febrile Infants Aged 8-90 Days Using Administrative Data. 利用行政数据分析 8-90 天发热婴儿中侵入性细菌感染比例的差异。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-20 DOI: 10.1016/j.acap.2024.102608

Jeffrey P Yaeger, Kevin A Fiscella

{"title":"Variability in Invasive Bacterial Infection Proportions Among Febrile Infants Aged 8-90 Days Using Administrative Data.","authors":"Jeffrey P Yaeger, Kevin A Fiscella","doi":"10.1016/j.acap.2024.102608","DOIUrl":"10.1016/j.acap.2024.102608","url":null,"abstract":"Objective: Despite decades of research, knowledge is limited regarding sociodemographic risk factors (eg, sex, rural/urban residence) for invasive bacterial infections (IBIs; bacteremia, bacterial meningitis) in young febrile infants and outcomes of current management strategies. Population-based administrative datasets can provide epidemiological insights not possible with clinical data but are limited because diagnosis codes alone may not accurately reflect culture-positive bacteremia or meningitis infections. Thus, using different IBI case definitions, we report IBI and missed IBI proportions in a population of febrile infants aged 8-90 days.Methods: For this cross-sectional study, we used New York State's all-payer database to identify healthy, full-term infants with fever aged 8-90 days evaluated in emergency departments from 2012 to 2023. We defined IBIs and missed IBIs using previously published diagnosis codes and then restricted original case definitions to inpatient encounters with variable lengths-of-stay. For each approach, we calculated total and age-stratified IBI and missed IBI proportions and used chi square statistics to compare proportions within and across age groups.Results: Of 67,115 infants who met inclusion criteria (15,191 [23%] aged 8-28 days), total IBI and missed IBI proportions varied from 11.5-32.3/1000 febrile infants and 4.2-8.0/100 IBIs, respectively. Although IBI proportions decreased significantly with advancing age, missed IBI proportions significantly increased.Conclusions: IBI and missed IBI proportions varied widely by case definition. Missed IBI proportions increased with advancing age in a step-wise fashion regardless of case definition. Validation studies are needed to compare IBI diagnosis codes with culture results to understand the accuracy of identifying IBIs with administrative data.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102608"},"PeriodicalIF":3.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

My Father's Daughter and Doctor. 我父亲的女儿和医生

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-19 DOI: 10.1016/j.acap.2024.102610

Christy M Lucas

引用次数: 0

A Narrative Review of Key Studies in Medical Education in 2023: Applying the Current Literature to Educational Practice and Scholarship. 2023 年医学教育主要研究综述》：将当前文献应用于教育实践和学术研究。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-19 DOI: 10.1016/j.acap.2024.102605

Uchechi Oddiri, Michael S Ryan, Jolene E Collins, Peggy Han, Melissa Klein, Allison N J Lyle, Heidi M Kloster

引用次数: 0

Quality Initiative to Increase Early Initiation and Series Completion of Human Papillomavirus Vaccine and its Impact on Health Disparities. 提高人类乳头瘤病毒疫苗早期接种和系列接种率的质量倡议及其对健康差异的影响》（Quality Initiative to Increase Early Initiation and Series Completion of HPV Vaccine and its Impact on Health Disparities）。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-17 DOI: 10.1016/j.acap.2024.102609

Caitlin J Miller, Amudha Boopathi, Sara R Slovin, Zhongcui Gao, Kristin Maiden, Melissa Ray, Jonathan M Miller

{"title":"Quality Initiative to Increase Early Initiation and Series Completion of Human Papillomavirus Vaccine and its Impact on Health Disparities.","authors":"Caitlin J Miller, Amudha Boopathi, Sara R Slovin, Zhongcui Gao, Kristin Maiden, Melissa Ray, Jonathan M Miller","doi":"10.1016/j.acap.2024.102609","DOIUrl":"10.1016/j.acap.2024.102609","url":null,"abstract":"Objective: Human papillomavirus (HPV) infection is associated with a large burden of disease prevalence, morbidity, and known disparities. HPV vaccination rates remain lower than other childhood immunizations, despite vaccine safety and effectiveness. The objective of this quality improvement (QI) intervention was to improve HPV vaccination rate by 15% over 3-years through early initiation and analyze trends across health disparities.Methods: QI study in ages 9 to 13 at Nemours Primary Care from 2019 to 2022, which includes rural and urban regions and diverse populations. Interventions included updating electronic health records to begin at age 9, practice-level feedback, and updated education. Primary outcome measure was the Healthcare Effectiveness Data Information Set (HEDIS) rate for HPV vaccination (proportion completed by age 13). Process measure was early HPV vaccine initiation rate (proportion aged 9-10 with at least one dose). Year-end early HPV vaccine initiation rates were analyzed to assess trends by race and ethnicity, geography, insurance, and Child Opportunity Index (COI).Results: The number of eligible 9 and 10 year olds ranged from 16,466 to 17,925 annually. HEDIS rates improved over three years from 49.2% to 59.5% (P < 0.0001). Early initiation increased from 13.2% in 2019 to 42.2% in 2022 (P < 0.0001) and improved significantly across demographic variables (P < 0.0001). Groups with the lowest baseline early vaccination rates increased significantly.Conclusion: HPV vaccine completion by 13 increased significantly with QI supporting early initiation. Demographic analyses showed the highest degree of improvement in populations with the lowest baseline rates. This supports altering Centers for Disease Control and Prevention (CDC) recommendation for HPV vaccination initiation at ages 9-12.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102609"},"PeriodicalIF":3.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adverse Childhood Experiences and Insufficient Sleep. 童年的不良经历和睡眠不足。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-11-15 DOI: 10.1016/j.acap.2024.102606

Sarah Forthal, Susan Lin, Keely Cheslack-Postava

引用次数: 0