Search Results: MCHLine

Annotation: This report provides strategies that could help policymakers and purchasers of health care and health insurance improve care for children with asthma. The report discusses patterns of use and underuse of asthma controller medications, the effects of proper use of controller medications, and practices and policies used by managed care organizations and clinics and their effects on quality of care. Ongoing research is discussed, and a conclusion is offered. Supplemental information is presented in boxes throughout the report. References are included.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available at no charge; also available from the website. Document Number: AHRQ Pub. No. 05-0073.

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Keywords: Asthma, Child health, Clinics, Cultural competence, Health care, Health insurance, Low income groups, Managed care, Medicaid, Patient compliance, Prescription drugs, Public policy, Research

Annotation: This study was a randomized, two-group trial of a program to strengthen compliance with medication regimes among children with juvenile rheumatoid arthritis. The experimental prevention component includes: 1) written and videotaped educational materials aimed specifically at preventing and managing compliance problems; 2) instruction by a nurse practitioner in behavioral strategies for improving compliance; and 3) followup telephone contacts in which these strategies are reinstated. Both the literature and previous research by this research team suggests that a combination of educational and behavioral management strategies can be effective at improving compliance in patients who previously had been noncompliant. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB99-107229.

Keywords: Children with Special Health care Needs, Chronic Illnesses and Disabilities, Juvenile Rheumatoid Arthritis, MCH Research, Patient compliance, Preventive Health Care Education, Research, Rheumatic Diseases

Annotation: This report describes a project aimed at developing tools to be used to assess the cultural competency of primary care providers practicing within managed care systems. The project convened expert panels to clarify the dimensions of culturally competent health care practices. Panels included health care professionals who serve Chinese and Latino groups, and patient panels selected from these ethnic groups. Focusing on asthma, diabetes and hypertension, the panelists discussed areas in which misunderstandings may occur that result in the patient's not following the physician's directions, such as language difficulties, dietary habits, or beliefs about illness and treatment. The publication includes many references and suggestions for research.

Contact: Latino Coalition for a Healthy California, 1225 Eighth Street, Suite 500, Sacramento, CA 95814, Telephone: (916) 448-3234 Fax: (916) 448-3248 E-mail: [email protected] Web Site: http://www.lchc.org Available from the website. Document Number: PIC ID No. 6352.

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Keywords: Cultural barriers, Cultural sensitivity, Culturally competent services, Ethnic factors, Health care delivery, Language barriers, Minority groups, Patient compliance, Program evaluation

Annotation: This book examines current trends in research in patient compliance among children and adolescents, and it develops four main themes: theory, measurement, prevention, and intervention. The essays underscore that developmental factors affect health compliance behavior in children in a significant way, and it suggests how that idea can be incorporated in intervention and prevention programs. The book also suggests topics for future research.

Contact: Lawrence Erlbaum Associates, Inc., Taylor & Francis Group, LLC, 325 Chestnut Street, Suite 800, Philadelphia, PA 19160, Telephone: (215) 625-8900 Secondary Telephone: (800) 354-1420 Contact Phone: (800) 926-6579 Fax: (215) 625-2940 Web Site: http://www.leaonline.com/?cookieSet=1 Available in libraries. Document Number: ISBN 0-8058-1112-5.

Keywords: Adolescent development, Adolescents with special health care needs, Child development, Children with special health care needs, Health behavior, Intervention, Patient compliance, Prevention