Arch Pediat Adol Med
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Arch Pediat Adol Med · Mar 2005
Randomized Controlled Trial Clinical TrialEffectiveness of oral dexamethasone in the treatment of moderate to severe pharyngitis in children.
To determine the effectiveness of a single dose of oral dexamethasone in reducing the pain associated with moderate to severe pharyngitis in pediatric patients. ⋯ Children with moderate to severe pharyngitis had earlier onset of pain relief and shorter duration of sore throat when given oral dexamethasone.
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Arch Pediat Adol Med · Feb 2005
An assessment of pediatric after-hours telephone care: a 1-year experience.
Pediatric after-hours telephone triage by call center nurses is an important part of pediatric health care provision. ⋯ This study describes the epidemiology of after-hours telephone calls regarding children in 90% of the private practices in Colorado. Data provided are useful in guiding the planning of health care provision, providing staffing of after-hours facilities, and planning for the educational training of telephone care staff. They also highlight opportunities for patient education that might decrease unnecessary after-hours calls.
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To identify parents' priorities and satisfaction in relation to pediatric care to assess nurses' and physicians' ability to provide care and treatment that fulfill parents' needs. ⋯ Parents' priorities and assessments of inpatient pediatric care rest heavily on the communication between physicians and parents. The present study pointed to the need for improved and clearer communication. In addition, the poor performance with regard to waiting time indicates that this is a major area for improvement.
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Arch Pediat Adol Med · Jan 2005
A national profile of health care utilization and expenditures for children with special health care needs.
To provide the first nationally representative data on total health care expenses, out-of-pocket health care expenses, and information on the extent to which out-of-pocket expenses are financially burdensome for families of children with special health care needs (CSHCN). To also compare utilization and expenditure patterns for children with and without special health care needs. ⋯ Families with CSHCN experience much higher expenditures, including out-of-pocket expenditures, than other children. Insurance plays an important protective role for families of CSHCN, but it still provides incomplete protection. Health policy changes that would extend the breadth and depth of insurance coverage are needed to ensure that all families of CSHCN are protected against burdensome expenses.
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Arch Pediat Adol Med · Nov 2004
Randomized Controlled Trial Clinical TrialEfficacy of a pediatric emergency department-based influenza vaccination program.
Influenza vaccination effectively reduces influenza-related morbidity in children but is underused. The pediatric emergency department is a potential intervention point for increasing influenza vaccination in children. ⋯ A pediatric emergency department-based influenza vaccination program increases vaccination of targeted children and family members who use the emergency department during influenza vaccination season.