Health equity in pediatrics: Current concepts for the care of children in the 21st century (Dis Mon).

Autor: Dickson CA; Department of Pediatric & Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Ergun-Longmire B; Department of Pediatric & Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Greydanus DE; Department of Pediatric & Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States. Electronic address: donald.greydanus@wmed.edu., Eke R; Department of Community Medicine, Mercer University School of Medicine, Columbus, GA, United States., Giedeman B; Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Nickson NM; Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Hoang LN; Department of Psychology, Western Michigan University, Kalamazoo, MI, United States., Adabanya U; Department of Community Medicine, Mercer University School of Medicine, Columbus, GA, United States., Payares DVP; Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Chahin S; Department of Psychology, C.S. Mott Children's Hospital/Michigan Medicine, Ann Arbor, MI, United States., McCrary J; Center for Rural Health and Health Disparities, Mercer University School of Medicine, Columbus, GA, United States., White K; Department of Pediatric & Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Moon JH; Department of Community Medicine, Mercer University School of Medicine, Columbus, GA, United States., Haitova N; Department of Educational Leadership, Research and Technology, Western Michigan University, Kalamazoo, MI, United States., Deleon J; Department of Pediatric & Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States., Apple RW; Department of Pediatric & Adolescent Medicine, Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, United States.
Jazyk: angličtina
Zdroj: Disease-a-month : DM [Dis Mon] 2024 Mar; Vol. 70 (3), pp. 101631. Date of Electronic Publication: 2023 Sep 20.
DOI: 10.1016/j.disamonth.2023.101631
Abstrakt: This is an analysis of important aspects of health equity in caring for children and adolescents written by a multidisciplinary team from different medical centers. In this discussion for clinicians, we look at definitions of pediatric health equity and the enormous impact of social determinants of health in this area. Factors involved with pediatric healthcare disparities that are considered include race, ethnicity, gender, age, poverty, socioeconomic status, LGBT status, living in rural communities, housing instability, food insecurity, access to transportation, availability of healthcare professionals, the status of education, and employment as well as immigration. Additional issues involved with health equity in pediatrics that are reviewed will include the impact of the COVID-19 pandemic, behavioral health concepts, and the negative health effects of climate change. Recommendations that are presented include reflection of one's own attitudes on as well as an understanding of these topics, consideration of the role of various healthcare providers (i.e., community health workers, peer health navigators, others), the impact of behavioral health integration, and the need for well-conceived curricula as well as multi-faceted training programs in pediatric health equity at the undergraduate and postgraduate medical education levels. Furthermore, ongoing research in pediatric health equity is needed to scrutinize current concepts and stimulate the development of ideas with an ever-greater positive influence on the health of our beloved children. Clinicians caring for children can serve as champions for the optimal health of children and their families; in addition, these healthcare professionals are uniquely positioned in their daily work to understand the drivers of health inequities and to be advocates for optimal health equity in the 21st century for all children and adolescents.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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