Child Health Equity, An Issue of Pediatric Clinics of North America

1st Edition, Volume 70-4 - July 11, 2023
Editors: Robert S. Kahn, Monica Mitchell, Tina L. Cheng
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 9 0 7 - 2
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 9 0 8 - 9

In this issue of Pediatric Clinics of North America, guest editors Drs. Robert S. Kahn, Monica Mitchell, and Tina L. Cheng bring their considerable expertise to the topic of… Read more

Child Health Equity, An Issue of Pediatric Clinics of North America

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In this issue of Pediatric Clinics of North America, guest editors Drs. Robert S. Kahn, Monica Mitchell, and Tina L. Cheng bring their considerable expertise to the topic of Achieving Child Health Equity. Health equity requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care. In this issue, top experts provide up-to-date information to healthcare practitioners with the goal of implementing programs and policies to identify and address health care inequality for children.

Cover image
Title page
Table of Contents
Copyright
CME Accreditation Page
Contributors
Forthcoming Issues
Preface
A Framework for Pursuing Child Health Equity in Pediatric Practice
Key points
The complexity of health disparities
Framework for child health outcomes: more than disease
Framework for child equitable health outcomes versus equal health care services
Framework for the causes of child health equity
Framework for strategic equity interventions
Challenges to pursuing outcomes equity in practices: populations, partnerships, payment
Summary
Clinics care points
Disclosure
Clarity on Disparity: Who, What, When, Where, Why, and How
Key points
Introduction
Clarity on disparity
Summary
Clinics care points
Disclosure
Population Healthcare Practice Management
Population Health in Pediatric Primary Care as a Means to Achieving Child Health Equity
Key points
Case study
Achieving child health equity
Population health: concept, approach, and outcome
Primary care, population health, and achieving health equity
High-quality primary care and patient-centered medical home
Integrated health care delivery systems
Integrated health care delivery systems as a potential catalytic structure
Clinically and financially integrated health systems
Pediatric clinically integrated networks
Achieving child health equity
Case study (continued)
Alternative Payment Models and Working with Payers–Key Considerations for Advancing Population Health Goals and Achieving Child Health Equity
Key points
Introduction
Learnings from Medicare and their applications to pediatric populations
Aligning value and equity
In pursuit of whole child’s health
Clinics care points
Disclosure
Moving Beyond Health Care to Achieve Health Equity
Partnering with Families and Communities to Improve Child Health and Health Equity
Key points
Partnering with families and communities: case study 1
Background
Ensuring effective engagement when partnering in communities
Models for partnering with communities to improve health
Tools for assessing community engagement and partnership in pediatric health
Partnering with families and communities: case study 2
Summary and implications for pediatric health providers
Clinics care points to support families, communities, and child health equity
Disclosure
Addressing Social Determinants of Health in Practice
Key points
Background: a brief history
Clinical case: social determinants of health in context
Implementing social risk and social needs screening
Responding to positive screens
Concerns and potential unintended consequences
Summary
Clinics care points
Disclosure
Pursuing a Cross-Sector Approach to Advance Child Health Equity
Key points
Illustrative case
Introduction
System of care and system of health
Developing and sustaining cross-sector partnerships
Examples of cross-sector partnerships
Research questions, challenges, and opportunities for innovation
Summary
Clinics care points
Disclosure
Addressing Structural Racism in Pediatric Clinical Practice
Key points
Introduction
Race, ethnicity, and health disparities
Defining racism and bias
Structural racism and health inequities
The influence of racism and bias on biological and psychological functioning
Addressing structural racism of health systems and clinical institutions
Clinics care points
Disclosures
Addressing Health Literacy in Pediatric Practice: A Health Equity Lens
Key points
Health literacy – a highly important and prevalent issue impacting child health
The broad scope of health literacy
Health literacy framework
Health literacy is a state – not a trait
Health literacy is an equity issue
Implications of low health literacy on child health-related outcomes
The difficulty of identifying individuals with low health literacy in the clinical setting
Formal assessments of individual-level health literacy are not a recommended part of routine clinical practice
Integrating a universal precautions approach to clear communication in clinical care
Special considerations for mitigating health literacy challenges by practice setting
The future of addressing health literacy in practice - essential for achieving health equity
Clinics care points
Disclosure
Acknowledgments
Health Care Anchors’ Responsibilities and Approaches to Achieving Child Health Equity
Key points
Introduction
The anchor mission
Case study: Odessa Brown Children’s Clinic in Seattle, Washington
Anchor mission strategies for leveraging economic assets
Anchor mission strategies to address systemic inequities
Developing an anchor mission: strategies for implementation, challenges, and considerations
Challenges and considerations
Summary
Clinics care points
Disclosure
Special Topics
Pediatric Primary-Care Integrated Behavioral Health: A Framework for Reducing Inequities in Behavioral Health Care and Outcomes for Children
Key points
Case presentation
The youth behavioral health crisis and its disparities
Coronavirus disease 2019 and youth mental health
Key drivers of disparities in behavioral health care
Rationale for integration of behavioral health care into pediatric primary care
The continuum of integrated behavioral health care
How integrated care can reduce behavioral health disparities
Barriers to integrated behavioral health care
Addressing structural causes of behavioral health disparities
A vision for the future of pediatric integrated behavioral health care
Case presentation, continued
Clinics care points
Disclosure
Health Care for Children in Immigrant Families: Key Considerations and Addressing Barriers
Key points
Case study
Introduction
Disclosure
Achieving Health Equity for Sexual and Gender-Diverse Youth
Key points
Case study
Introduction
Sexual and gender diverse youth exposures to discrimination and stigma
Sexual and gender diverse youth disparities and inequities
Pediatric providers as critical protective factors for sexual and gender diverse youth
Achieving health equity for sexual and gender-diverse youth
Clinics care points
Disclosure
Climate Change and Child Health Equity
Key points
Case
Introduction
Climate change and pediatric health
Climate change and health equity
Advocacy and climate change—the pediatric clinician’s role
Summary
Clinics care points
Disclosure
Practice and Policy Change
Crossing the Quality Chasm and the Ignored Pillar of Health Care Equity
Key points
1. Establish a culture of quality, safety, and continuous improvement that includes equity
2. Collect and analyze data
3. Determine and prioritize process and outcome measures for improvement
4. Identify key drivers, and develop and test interventions
5. Communicate bidirectionally and share results transparently
6. Commit to ongoing evaluation
7. Spread successes and best practices
Clinics care points
Disclosure
Achieving Child Health Equity: Policy Solutions
Key points
Health care
Direct financial support to families
Nutrition
Support for early childhood and brain development
End family homelessness
Make housing and neighborhoods environmentally safe
Gun violence prevention
LGBTQ + health equity
Protect immigrant children and families
Clinics care points
Disclosure

Life sciences

Physical sciences & Engineering

Social sciences & Humanities

Health

Child Health Equity, An Issue of Pediatric Clinics of North America

Purchase options

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code needed.

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Robert S. Kahn

Monica Mitchell

Tina L. Cheng