Pediatric Advocacy

Paulson, Jerome A.

doi:10.1016/s0031-3955(05)70376-x

Cited by 21 publications

(14 citation statements)

References 46 publications

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“…Broadly defined, advocacy includes actions on behalf of others (children) that support, defend, recommend, or argue for a specific undertaking. 7 Scientists and physicians, particularly pediatricians, are ideally suited to the task of advocacy, as their daily work requires making complicated medical issues more readily accessible. 8 Confidence and trust in the scientific community has remained steadily high for decades, and 70% of Americans support our nation's scientific investment in federally funded research, believing these commitments "pay off" in the long run.…”

Section: Defining Advocacy As a Need In Pediatrics And As Scholarly Amentioning

confidence: 99%

Academic Advocacy and Promotion: How to Climb a Ladder Not Yet Built

Shah

Brumberg

Kuo³

et al. 2019

The Journal of Pediatrics

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Section: Defining Advocacy As a Need In Pediatrics And As Scholarly Amentioning

confidence: 99%

Academic Advocacy and Promotion: How to Climb a Ladder Not Yet Built

Shah

Brumberg

Kuo³

et al. 2019

The Journal of Pediatrics

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“…Accessing a medical‐legal partnership can be quite useful in trying to manage housing problems of individual patients 24. Moreover, if there is a whole community exposed to high levels of air or water pollution or to a toxic‐waste site, long‐term advocacy with politicians and corporations may be necessary 25–28…”

Section: Management Of Environmentally Related Health Problemsmentioning

confidence: 99%

Clinical Services in Environmental Pediatrics

Paulson

Gordon

2011

Mount Sinai J Medicine

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Pediatric healthcare providers are confronted with environmental health problems frequently: the child with asthma exacerbated by the odor of paint in school or mouse antigen at home, the family who wants to know the risks and benefits of using different types of sunblock, or the community that asks the provider for advice on the potential health impacts of building the new elementary school next to the on-ramp to the interstate highway. Pediatric providers have not been well trained to deal with these questions in medical or nursing schools, residency training, or continuing-education settings. This article provides guidance on history taking, the physical examination, laboratory evaluations of patients and the environment, and making an assessment about and managing environmental health problems. Pediatric Environmental Health Specialty Units are discussed as a source of consultation and referral. The identification and utilization of evidence-based resources are stressed and clinicians are cautioned about non-evidence-based assessments such as clinical ecology and hair analysis and non-evidence-based management strategies such as chelation for autism.

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“…21 These examples involve advocacy projects with realizable goals focused on a particular issue and offer potential approaches to community advocacy and engagement. 20,22 Projects such as these can form the basis for building lasting relationships with community members, community-based organizations (CBOs), state agencies, schools, and other community-based associations. These relationships require effort, nurturing, and true partnership.…”

Section: Setting the Stage For Community Engagement On Health Disparimentioning

confidence: 99%

Community Engagement and its Impact on Child Health Disparities: Building Blocks, Examples, and Resources

Ochoa

Nash

2009

Pediatrics

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National attention to racial and ethnic health disparities has increased over the last decades, but marked improvements in minority health, especially among children, have been slow to emerge. A life-course perspective with sustained community engagement takes into account root causes of poor health in minority and low-income communities. This perspective involves a variety of primary care, public health, and academic stakeholders. A life-course perspective holds great promise for having a positive impact on health inequities. In this article we provide background information on available tools and resources for engaging with communities. We also offer examples of communityprimary care provider interventions that have had a positive impact on racial and ethnic health disparities. Common elements of these projects are described; additional local and national resources are listed; and future research needs, specifically in communities around issues that are relevant to children, are articulated. Examples throughout the history of pediatrics show the potential to eliminate racial and ethnic health disparities not only for children but also for all populations across the life course. Few topics in health, from individual health care to population health and from social determinants of health 1 to health policy, demand a more comprehensive examination than racial and ethnic health disparities. Health disparities are significant differences in health, health care, and developmental outcomes between populations, to modify a definition from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). National awareness of health disparities has progressed over the last 25 years from the Centers for Disease Control and Prevention 2 (CDC) and the US Department of Health and Human Services 3 reports in the mid1980s to the Institute of Medicine report in 2003,4 but the pace of progress in eliminating these disparities has been slow. 5 In addition, the health-disparities literature tends to focus on mortality, morbidity, and health care interventions related to chronic diseases in adults. This does not mean that little is known about child health disparities, as shown by the annual editions of the Annie E. Casey Foundation's Kids Count Data Book, 6 which review racial and ethnic disparities in child deaths, teen births, infant mortality, and low birth weight, among many other indicators. Furthermore, disparities by race and ethnicity are well documented for childhood asthma, 7 obesity, 8,9 immunizations, 10,11 and health insurance coverage. 12 Health insurance disparities are particularly severe in Latino children. 13 The concept of partnering with communities to improve health is not a new one, especially in the public health world, but it has recently gained momentum in more traditional medical settings as physicians come to realize that all nonbiomedical influences on individual health are not easily addressed in a clinic or hospital room. 14,15 Recent reviews of the literature ...

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Pediatric Advocacy

Cited by 21 publications

References 46 publications

Academic Advocacy and Promotion: How to Climb a Ladder Not Yet Built

Academic Advocacy and Promotion: How to Climb a Ladder Not Yet Built

Clinical Services in Environmental Pediatrics

Community Engagement and its Impact on Child Health Disparities: Building Blocks, Examples, and Resources

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