This article presents a method of conducting scoping review that synthesizes recommendations from previous literature while contributing additional customizations to enhance team-based, mixed approach. A form knowledge synthesis, reviews aim describe the breadth an existent base and inform future research, practice, policy. Scoping methodology has continued evolve since inception Arksey O'Malley Framework in 2005. After examining body on about reviews, we found teamwork approaches were...

Background:Children with care for acute illness available through the Health-e-Access telemedicine model at childcare and schools were previously found to have 22% less emergency department (ED) use than counterparts without this service, but they also had 24% greater overall.Introduction:We assessed hypothesis that increased utilization reflected improved access among impoverished inner-city children a level experienced by more affluent suburban children. This observational study compared...

To assess the hypothesis that effectiveness and safety of Health-e-Access telemedicine model for care children with special healthcare needs (CSHCN) acute illness equaled those in regular childcare schools (CRS).We examined use through insurance claims records spanning 5.7 7.3 years CSHCN CRS, respectively. Effectiveness was measured as visit completion, duplication, adverse events. Completed visits had diagnosis management decisions made, treatment implemented, based solely on telemedicine....

To describe a regional health system's experience with medically tailored groceries (MTG), focusing on program reach and effectiveness as determined by observed within-person changes in cardiometabolic measures. Case study including individuals aged 18 to 79 years referred an ambulatory care provider single MTG from April 2020 through September 2023. Demographics, clinical characteristics, measures (blood pressure [BP], weight, body mass index [BMI], hemoglobin A1c [HbA1c]) were abstracted...

Background: Lead contamination in game-hunted meat (GHM) remains a health risk due to common use of lead bullets hunting, affecting donated food banks. This qualitative study examined these risks Ohio and Minnesota bank systems, focusing on stakeholders' roles, awareness, safety measures. Methods: Semistructured telephone interviews were conducted with 26 stakeholders, including processors, distribution organizations, state inspectors, banks, pantries Minnesota. Participants interviewed...

ABSTRACT Objective: Examine patient characteristics and practice processes associated with referrals to social behavioral health resources in an urban/inner-city primary care pediatric practice. Method: Retrospective chart review was conducted on Safe Environment for Every Kid (SEEK) screening immediate later clinician responses positive screens (documented by the practice's early relational specialist) from well-child visits children 6 months years. Bivariate multivariate analyses were used...

: media-1vid110.1542/5852348672001PEDS-VA_2017-3562Video Abstract BACKGROUND AND OBJECTIVES: Multidisciplinary care teams may improve health and control total cost for children with medical complexity (CMC). We aim to quantify the time required perform nonreimbursed coordination activities by a multidisciplinary program CMC estimate direct salary costs of that time.From April 2013 October 2015, staff tracked spent in practicably measured nonbilled efforts. Staff documented discipline...

Exclusive breastfeeding is recommended through age 6 months, and 24.9% of all U.S. mothers, but only 19.8% African American or Black (AA/B) achieved this goal (2020). Smartphone technology, specifically short message service (SMS texting), may provide a strategy to reach engage AA/B women who otherwise face barriers related racism in accessing resources. Unfortunately, few mobile health applications are designed for women.

Introduction/Objectives: Social determinants of health (SDoH) screening and intervention in pediatric primary care depends upon caregiver disclosure adverse household or social conditions thus may be influenced by perceived bias stigma. This paper examines to what extent parents’ experience their child’s medical home is associated with perceptions a practice-based needs intervention. Methods: We conducted cohort study data reported 73 parents children obtaining an embedded SDoH navigation...

Although breastfeeding is widely accepted as beneficial, only half of U.S. mothers are at 6 months. This study aimed to learn whether a quality improvement project embed lactation support services into the newborn visit primary pediatric practice met families’ needs. Mothers who were aged 18+ years, had an infant born in October 2021 with well-child (urban, 85% Medicaid, and 90% African American), planned breastfeed invited participate semi-structured telephone interview about their...

Attention-deficit hyperactivity disorder (ADHD) can impair child health and functioning, but its effects on the family's economic burden are not well understood. The authors assessed this in US families of children with ADHD, degree to which access a patient-centered medical home (PCMH) might reduce burden.We conducted cross-sectional analyses 2005-2006 2009-2010 National Surveys Children Special Health Care Needs, focusing ADHD. They defined family as (1) financial problems (annual expenses...

Patients present to primary care clinics with a variety of experiences, including exposure adverse childhood experiences (ACEs) and other social determinants health. The pervasive impact early adversity on later healthcare outcomes has resulted in the development trauma-informed principles that can be applied settings. aim this study is improve understanding patient staff within urban setting guide considerations recommendations when implementing such model. A phenomenologic approach was...

Prevailing regulatory and financing issues constrain dissemination of connected care despite evidence supporting acceptability, effectiveness, efficiency. In this analysis we describe provided over a 12-year period by Health-e-Access, an evidence-based, information-rich, model designed to serve children with acute illness. We demonstrate the broad clinical capacity key components imparting capacity.Since 2001, Health-e-Access has been used in childcare, elementary schools, neighborhood...

Social determinants of health (SDoH) screening and intervention in primary care aim to alleviate adverse influences on health, but its efficacy may be diluted when offered supports are not well matched families' desire for such services. The purpose this prospective cohort study was provide guidance social navigation teams regarding which families would most likely make use services.Analysis registry data collected April 1-September 30, 2021 from a program embedded medical home conducted....

Objective. Personal health records (PHRs) may address the needs of children with attention deficit hyperactivity disorder. Among parents, we assessed acceptance, barriers, and intentions regarding use PHR for their Methods. Survey parents from 3 practices in Rochester, NY. Stepwise logistic regression analysis explored factors predicting respondents’ future PHR, accounting care coordination needs, caregiver education, socioeconomic status, satisfaction providers. Results. Of 184 respondents,...

This is the first study to use Common-Sense Model of Self-Regulation theory for oral health interventions in pediatric practices. The objective this qualitative was assess adoption and implementation theory-based multilevel interventions, by clinicians (pediatricians nurse practitioners) participating a cluster randomized clinical trial, create an toolkit widespread dissemination into

Introduction: Disparities by race in the use of diabetes technology youth with T1DM risk exacerbating inequities health outcomes among Black T1DM. In preparation for a feasibility trial an intervention to increase youth, purpose this analysis was define expectations how community worker (CHW) might promote facilitators and address barriers sustained adoption technology. Methods: Semi-structured interviews followed 3 focus groups were conducted January-June 2023 patients, caregivers,...