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America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
Children's health has clearly improved over the past several decades. Significant and positive gains have been made in lowering rates of infant mortality and morbidity from infectious diseases and accidental causes, improved access to health care, and reduction in the effects of environmental contaminants such as lead. Yet major questions still remain about how to assess the status of children's health, what factors should be monitored, and the appropriate measurement tools that should be used. Children's Health, the Nation's Wealth: Assessing and Improving Child Health provides a detailed examination of the information about children's health that is needed to help policy makers and program providers at the federal, state, and local levels. In order to improve children's health-and, thus, the health of future generations-it is critical to have data that can be used to assess both current conditions and possible future threats to children's health. This compelling book describes what is known about the health of children and what is needed to expand the knowledge. By strategically improving the health of children, we ensure healthier future generations to come.
While coordinating the University of Groningen’s Honours College Winterschool/Atelier entitled Children's Rights in Health Care, the need to publish the contributions to this program was generally expressed and confirmed by its participants. The Winterschool/Atelier, successfully organized in recent years, has dealt with many issues concerning the legal position of minor persons – born and unborn – in the context of health care, especially pediatric care. These issues involve matters concerning pediatric treatment, preventive care and predictive medicine, medical research involving children, incompetence and child autonomy, a child’s psychological development, parental responsibility and representation, protective judicial measures, child migration issues, children’s health rights enforcement as well as children’s health interest monitoring and promotion. During the program, leading experts in the fields of law, ethics, medicine, biology, psychology and institutions such as the Dutch Child & Hospital Foundation, the Child Protection Board, Save the Children, and UNICEF shared their views on normative standards, practical experiences, significant developments, challenging ideas, silent dreams and inevitable realities. As a result, the Children's Rights in Health Care program provided opportunities for a profound dialogue between Honours College students and lecturing scholars on a wide range of topics involving children’s health care interests. This volume contains several analyses of health rights issues related to children. The various chapters provide an overview of this captivating area and may be of special interest to lawyers, health care professionals, ethicists, psychologists, judicial institutions, policy makers, interest groups, students and all others who are concerned with the children’s rights perspective on health care.
Our current era of globalization, war, and socioeconomic unrest has revealed public health as a worldwide concern and a major frontier for social justice with maternal and child health at its epicenter. Yet, there has been a relative scarcity of training resources specifically dedicated to this crucial area. "Maternal and Child Health: Global Challenges, Programs, and Policies" addresses this gap in current knowledge by analyzing the range of socioeconomic and environmental factors, health care disparities, politics, policies, and cultural practices that impact the health and safety of mothers, as well as the well-being and optimum development of their children. Individual sections focus on unequal distribution of the world’s resources, politics and power, specific disease concerns, programs, policies and emerging concerns with a focus on what is currently being done, and what needs to be done to improve the health status of women, children, and adolescents. The book’s contributors are some of the world’s most respected experts, carefully selected to represent different global geographic regions and diverse professional disciplines related to maternal and child health from both academic and field practice perspectives. Among the topics in this authoritative volume: The impact of war, globalization, gender inequity, and harmful traditional practices (e.g., female genital mutilation). Specific health concerns, including tuberculosis, malaria, HIV, and malnutrition. Child and adolescent health issues, from abuse and neglect to children in difficult circumstances. Pregnancy-related issues: safety, abortion and post-abortion care, teen pregnancy, and more. Strategies for planning, developing, and maintaining maternal and child health systems in developing countries. The status of global initiatives, such as Integrated Management of Childhood Illnesses and the Millennium Development Goals. The status of evidence-based maternal and child health in the developing world. With such a wealth of information on both practical and conceptual levels, "Maternal and Child Health: Global Challenges, Programs, and Policies" is as relevant to students and researchers in the field as it is to policy makers and those working for global health and development organizations. It also makes an excellent stand-alone text for courses in global health in general and global maternal and child health in particular.
Understanding the relationship between energy balance and obesity is essential to develop effective prevention programs and policies. The International Agency for Research on Cancer convened a Working Group of world-leading experts in December 2015 to review the evidence regarding energy balance and obesity, with a focus on low- and middle-income countries, and to consider the following scientific questions: (i) Are the drivers of the obesity epidemic related only to energy excess and/or do specific foods or nutrients play a major role in this epidemic? (ii) What are the factors that modulate these associations? (iii) Which types of data and/or studies will further improve our understanding? This book provides summaries of the evidence from the literature as well as the Working Group's conclusions and recommendations to tackle the global epidemic of obesity.
This thought-provoking volume defines child abuse and neglect as a public health crisis, both in terms of injuries and mental health problems and as a link to poverty and other negative social outcomes. The author identifies key factors contributing to this situation—in particular juvenile ageism, the pervasive othering of children and youth—coupled with the assumption of parental competence until severe abuse or neglect proves otherwise. The book’s practical answers to these complex issues involve recognizing and balancing the rights of parents and children, and responding to the diverse needs of new, competent, and dysfunctional families. To this end, a comprehensive prevention model is outlined, featuring primary, secondary, and tertiary interventions. Included in the coverage: • Child abuse and neglect in the United States • The impact of juvenile ageism on individuals • The devaluation of parenthood • The rights and needs of newborn babies and young children • Overcoming our crisis-recoil response • Barriers to change and hope for the future Dealing with Child Abuse and Neglect as Public Health Problems should engage professionals in the public health, healthcare, and social services sectors. It should also attract parents in struggling families as well as other laypersons, such as policymakers and child advocates, interested in improving current social conditions.
From sentimental stories about polio to the latest cherub in hospital commercials, sick children tug at the public’s heartstrings. However sick children have not always had adequate medical care or protection. The essays in Children’s Issues in Historical Perspective investigate the identification, prevention, and treatment of childhood diseases from the 1800s onwards, in areas ranging from French-colonial Vietnam to nineteenth-century northern British Columbia, from New Zealand fresh air camps to American health fairs. Themes include: the role of government and/or the private sector in initiating and underwriting child public health programs; the growth of the profession of pediatrics and its views on “proper” mothering techniques; the role of nationalism, as well as ethnic and racial dimensions in child-saving movements; normative behaviour, social control, and the treatment of “deviant” children and adolescents; poverty, wealth, and child health measures; and the development of the modern children’s hospital. This liberally illustrated collection reflects the growing academic interest in all aspects of childhood, especially child health, and originates from health care professionals and scholars across the disciplines. An introduction by the editors places the historical themes in context and offers an overview of the contemporary study of children’s health.
Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
Several positive and negative lifelong behaviors are established during adolescence including diet and exercise, sexual conduct, practices related to oral health, smoking, drinking, and the use if legal and illegal substances. The complex issues that adolescents deal with on a daily basis can turn into health problems that persist throughout adulthood. Unfortunately the adolescents who are frequently the most disconnected from routine health care services - those who lack insurance and family support - are often those at greatest risk for multiple and chronic health problems. Therefore, those that are responsible for delivering health care services to adolescents must address the health conditions that require immediate attention while preparing young people to adopt practices that can help improve their future health status and prevent unhealthy behaviors. Challenges in Adolescent Health Care studies adolescent health care in the United States, highlights critical health care needs, and identifies service models and components of care that may strengthen and improve health care services, settings, and systems for adolescents. The book explores the nature of adolescent challenges and how they reflect larger societal issues such as poverty, crime and the prevalence of violence. These issues, in addition to lack of comprehensive health coverage, dysfunctional families and the lack of support systems, make providing adequate health care incredibly challenging. Challenges in Adolescent Health Care defines high-quality health care, identifies the strengths and weaknesses of various service models and explores various training programs. The book recommends that health care providers must be sensitive to socioeconomic factors and incorporate health care in a broad array of settings including schools, neighborhoods and community centers.
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.