Paul W Newacheck
Dados Biográficos
| ID | 5534693 |
|---|---|
| NOME | Paul W Newacheck |
| PRENOMES | Paul W |
| SOBRENOME | Newacheck |
| ASSINATURA | NEWACHECK P W |
| AFILIAÇÕES | University of California, San Francisco |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAÇÕES | 84 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1980 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2014 |
| ÍNDICE H | 6 |
Adverse Childhood Experiences
The ongoing longitudinal Adverse Childhood Experiences Study of adults has found significant associations between chronic conditions; quality of life and life expectancy in adulthood; and the trauma and stress associated with adverse childhood experiences, including physical or emotional abuse or neglect, deprivation, or exposure to violence. Less is known about the population-based epidemiology of adverse childhood experiences among US children.…
Assessing Systems Quality in a Changing Health Care Environment
Optimizing Health and Health Care Systems for Children with Special Health Care Needs Using the Life Course Perspective
An examination of racial/ethnic disparities in children's oral health in the United States
Racial/ethnic disparities in children's oral health status and access were attributable largely to socioeconomic and health insurance factors. Efforts to decrease disparities may be more efficacious if targeted at social, economic, and other factors associated with minority racial/ethnic status and may have positive effects on all who share similar social, economic, and cultural characteristics
Assessing and Ensuring a Comprehensive System of Services for Children With Special Health Care Needs
The US Department of Health and Human Services called for comprehensive systems of services for children with special health care needs in its Healthy People 2000 and 2010 health care objectives for the nation. We report on the proportion of children with special health care needs receiving care in high-quality systems of services measured by attainment of 6 essential system elements, or quality indicators, generated from a survey of 40 723 famil…
Does Having a Regular Primary Care Clinician Improve Quality of Preventive Care for Young Children
OBJECTIVE: This study examines whether having a regular clinician for preventive care is associated with quality of care for young children, as measured by interpersonal quality ratings and content of anticipatory guidance. DATA SOURCE: The National Survey of Early Childhood Health (NSECH), a nationally representative parent survey of health care quality for 2068 young US children fielded by the National Center for Health Statistics (NCHS). STUDY…
Influences on Children's Oral Health
OBJECTIVES. Despite marked improvements over the past century, oral health in America is a significant problem: caries is the most common chronic disease of childhood. Much oral health research examines influences primarily in the oral cavity or focuses on a limited number of individual-level factors. The purpose of this article was to present a more encompassing conceptual model of the influences on children's oral health. METHODS. The conceptua…
What is the Prevalence of Children with Special Health Care Needs? Toward an Understanding of Variations in Findings and Methods Across Three National Surveys
What is the Prevalence of Children with Special Health Care Needs? Toward an Understanding of Variations in Findings and Methods Across Three National Surveys
A National Profile of Health Care Utilization and Expenditures for Children With Special Health Care Needs
OBJECTIVES: 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. DESIGN: We used data from the 2000 Medical Expenditure …
Commentary
The National Survey of Children's Health
Identifying Children With Special Health Care Needs
Access to Health Care for Children With Special Health Care Needs
OBJECTIVE: To assess the role health insurance plays in influencing access to care and use of services by children with special health care needs. METHODS: We analyzed data on 57 553 children younger than 18 years old included in the 1994-1995 National Health Interview Survey on Disability. The survey obtained information on special health care needs, insurance status, and access to and use of health services. Bivariate and multivariate analyses …
A New Definition of Children With Special Health Care Needs
Abbreviations: MCH = : Maternal and Child Health (program) • CSHCN = : Children With Special Health Care Needs (program) • DSCSHCN = : (Maternal and Child Health Bureau's) Division of Services for Children With Special Health Care Needs. Developing community systems of services for children with special health care needs represents a significant challenge for pediatricians, families, managed care organizations, and public and private agencies pro…
Health Insurance and Access to Primary Care for Children
BACKGROUND: Numerous studies have demonstrated that insurance status influences the amount of ambulatory care received by children, but few have assessed the role of insurance as a determinant of children's access to primary care. We studied the effect of health insurance on children's access to primary care. METHODS: We analyzed a sample of 49,367 children under 18 years of age from the 1993-1994 National Health Interview Survey, a nationwide ho…
Community Health Monitoring
Prevalence and impact of disabling chronic conditions in childhood
OBJECTIVES: This study provides a current national profile of the prevalence and impact of chronic conditions causing childhood disability. Disability is defined as a long-term reduction in ability to conduct social role activities, such as school or play, because of a chronic physical or mental condition. METHODS: A cross-sectional descriptive analysis was performed on data from 99513 children younger than 18 years who were included in the 1992-…
Integrating Children's Health Services
Race, ethnicity, and access to ambulatory care among US adolescents
OBJECTIVES. Improving the health of minority adolescents will require a better understanding of factors that influence their access to and use of health care. This study describes the differences in health care access and use among White, Black and Hispanic adolescents and evaluates how such differences are influenced by insurance. METHODS. We used data on 7465 10- to 17-year-olds included in the child health supplement to the 1988 National Healt…
Childhood chronic illness
BACKGROUND. Using data from the 1988 National Health Interview Survey, this article presents national estimates of the prevalence and impact of childhood chronic conditions. METHODS. Proxy responses to a checklist of child health conditions administered for 17,110 children under 18 years of age were used. Conditions were classified as chronic if they were first noticed more than 3 months prior to the interview or if they were the type that would …
Characteristics of Children with High and Low Usage of Physician Services
This study examines utilization of physician services using a sample of 17,110 children younger than 18 years from the Child Health Supplement to the 1988 National Health Interview Survey on Child Health. Although children averaged 3 contacts with physicians, 21% of children did not use physician services and 7% had 10 or more contacts and accounted for 37% of all contacts for children during 1988. Age and ethnicity of the child; family income, h…
Metropolitan and Nonmetropolitan Adolescents
The demographic and health characteristics of metropolitan and nonmetropolitan adolescents are examined based on a nationally representative sample of 15,181 randomly selected adolescents from the 1984 National Health Interview Survey. One third of all adolescents reside in nonmetropolitan areas of the United States. Nonmetropolitan youth differed from their metropolitan counterparts in race, population concentration in the South, poverty status,…
Morbidity and use of ambulatory care services among poor and nonpoor children
Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income level, disability as measured by bed days is greater among low income children. A substantial minority of children from all socioeconom…
Trends in activity-limiting chronic conditions among children
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the …
Race, ethnicity, and access to ambulatory care among US adolescents
OBJECTIVES. Improving the health of minority adolescents will require a better understanding of factors that influence their access to and use of health care. This study describes the differences in health care access and use among White, Black and Hispanic adolescents and evaluates how such differences are influenced by insurance. METHODS. We used data on 7465 10- to 17-year-olds included in the child health supplement to the 1988 National Healt…
Prevalence and impact of disabling chronic conditions in childhood
OBJECTIVES: This study provides a current national profile of the prevalence and impact of chronic conditions causing childhood disability. Disability is defined as a long-term reduction in ability to conduct social role activities, such as school or play, because of a chronic physical or mental condition. METHODS: A cross-sectional descriptive analysis was performed on data from 99513 children younger than 18 years who were included in the 1992-…
Childhood chronic illness
BACKGROUND. Using data from the 1988 National Health Interview Survey, this article presents national estimates of the prevalence and impact of childhood chronic conditions. METHODS. Proxy responses to a checklist of child health conditions administered for 17,110 children under 18 years of age were used. Conditions were classified as chronic if they were first noticed more than 3 months prior to the interview or if they were the type that would …
Trends in childhood disability
This article summarizes and analyzes possible explanations for the near doubling, since 1960, of the proportion of children with limitations of activity due to chronic illness as reported in the National Health Interview Survey (NHIS). We examine several possible explanations for the upward trend in prevalence including: changes in survey design and procedures; changes in awareness of chronic illness on the part of parents and physicians; and cha…
Trends in activity-limiting chronic conditions among children
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the …
Morbidity and use of ambulatory care services among poor and nonpoor children
Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income level, disability as measured by bed days is greater among low income children. A substantial minority of children from all socioeconom…
Assessing and Ensuring a Comprehensive System of Services for Children With Special Health Care Needs
The US Department of Health and Human Services called for comprehensive systems of services for children with special health care needs in its Healthy People 2000 and 2010 health care objectives for the nation. We report on the proportion of children with special health care needs receiving care in high-quality systems of services measured by attainment of 6 essential system elements, or quality indicators, generated from a survey of 40 723 famil…
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Margaret A. McManus CopyRight https://doi.org/10.2105/AJPH.74.10.1168-a Published Online: October 07, 2011
Income and Illness
Little research has been directed toward an examination of the health needs of low-income Americans in relation to major governmental medical care programs designed originally to narrow the health gap between "poor" and "nonpoor." Analysis of unpublished data from the 1977 Health Interview Survey of the National Center for Health Statistics shows that about 75 per cent of the gap in restricted activity days and bed disability days--two common mea…
Patterns of Physician Use Among Low-Income, Chronically Ill Persons
The authors present new results from the 1978 National Health Interview Survey concerning the use of physician services by the least healthy segment of the low-income population: those who are limited in their activities due to chronic conditions. Poor and nonpoor persons with chronic activity limitations report similar levels of physician visits. However, lower-income persons report more severe chronic conditions and hence appear to use less phy…
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Margaret A. McManus CopyRight https://doi.org/10.2105/AJPH.74.10.1168-a Published Online: October 07, 2011
Trends in childhood disability
This article summarizes and analyzes possible explanations for the near doubling, since 1960, of the proportion of children with limitations of activity due to chronic illness as reported in the National Health Interview Survey (NHIS). We examine several possible explanations for the upward trend in prevalence including: changes in survey design and procedures; changes in awareness of chronic illness on the part of parents and physicians; and cha…
Trends in activity-limiting chronic conditions among children
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the …
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Neal Halfon CopyRight https://doi.org/10.2105/AJPH.76.10.1252-a Published Online: October 07, 2011
Trends in the hospitalization for acute childhood asthma, 1970-84
Data from the 1970 through 1984 National Hospital Discharge Surveys indicate that the rate of hospitalization for children under 15 years old with asthma has increased at least 145 per cent while the average length of stay for children with asthma decreased by 26 per cent from 5 days in 1970 to 3.6 days in 1984. Over an analogous period (1970 to 1980), data from the National Health Interview Survey indicate that the prevalence of childhood asthma…
The Association Between Mother??s and Children??s Use of Physician Services
Using data from the National Health Interview Survey on approximately 30,000 children, maternal and child ambulatory care utilization patterns are compared. The results indicate that maternal physician utilization is closely associated with child utilization, as measured by presence or absence of a physician visit over the course of a year as well as annual volume of use. Maternal use appears to be a more powerful predictor of child use than seve…
The Financial Burden of Medical Care Expenses for Children
Data from the 1980 National Medical Care Utilization and Expenditure Survey are used to assess whether financial burdens incurred in obtaining medical services for children are distributed equitably among families with different incomes. When measured in absolute terms, out-of-pocket charges appear to increase in a progressive fashion with family income. However, when out-of-pocket charges are measured relative to ability to pay, a regressive pat…
Morbidity and use of ambulatory care services among poor and nonpoor children
Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income level, disability as measured by bed days is greater among low income children. A substantial minority of children from all socioeconom…
Metropolitan and Nonmetropolitan Adolescents
The demographic and health characteristics of metropolitan and nonmetropolitan adolescents are examined based on a nationally representative sample of 15,181 randomly selected adolescents from the 1984 National Health Interview Survey. One third of all adolescents reside in nonmetropolitan areas of the United States. Nonmetropolitan youth differed from their metropolitan counterparts in race, population concentration in the South, poverty status,…
Childhood chronic illness
BACKGROUND. Using data from the 1988 National Health Interview Survey, this article presents national estimates of the prevalence and impact of childhood chronic conditions. METHODS. Proxy responses to a checklist of child health conditions administered for 17,110 children under 18 years of age were used. Conditions were classified as chronic if they were first noticed more than 3 months prior to the interview or if they were the type that would …
Characteristics of Children with High and Low Usage of Physician Services
This study examines utilization of physician services using a sample of 17,110 children younger than 18 years from the Child Health Supplement to the 1988 National Health Interview Survey on Child Health. Although children averaged 3 contacts with physicians, 21% of children did not use physician services and 7% had 10 or more contacts and accounted for 37% of all contacts for children during 1988. Age and ethnicity of the child; family income, h…
Race, ethnicity, and access to ambulatory care among US adolescents
OBJECTIVES. Improving the health of minority adolescents will require a better understanding of factors that influence their access to and use of health care. This study describes the differences in health care access and use among White, Black and Hispanic adolescents and evaluates how such differences are influenced by insurance. METHODS. We used data on 7465 10- to 17-year-olds included in the child health supplement to the 1988 National Healt…
Integrating Children's Health Services
A New Definition of Children With Special Health Care Needs
Abbreviations: MCH = : Maternal and Child Health (program) • CSHCN = : Children With Special Health Care Needs (program) • DSCSHCN = : (Maternal and Child Health Bureau's) Division of Services for Children With Special Health Care Needs. Developing community systems of services for children with special health care needs represents a significant challenge for pediatricians, families, managed care organizations, and public and private agencies pro…
Health Insurance and Access to Primary Care for Children
BACKGROUND: Numerous studies have demonstrated that insurance status influences the amount of ambulatory care received by children, but few have assessed the role of insurance as a determinant of children's access to primary care. We studied the effect of health insurance on children's access to primary care. METHODS: We analyzed a sample of 49,367 children under 18 years of age from the 1993-1994 National Health Interview Survey, a nationwide ho…
Community Health Monitoring
Prevalence and impact of disabling chronic conditions in childhood
OBJECTIVES: This study provides a current national profile of the prevalence and impact of chronic conditions causing childhood disability. Disability is defined as a long-term reduction in ability to conduct social role activities, such as school or play, because of a chronic physical or mental condition. METHODS: A cross-sectional descriptive analysis was performed on data from 99513 children younger than 18 years who were included in the 1992-…
Access to Health Care for Children With Special Health Care Needs
OBJECTIVE: To assess the role health insurance plays in influencing access to care and use of services by children with special health care needs. METHODS: We analyzed data on 57 553 children younger than 18 years old included in the 1994-1995 National Health Interview Survey on Disability. The survey obtained information on special health care needs, insurance status, and access to and use of health services. Bivariate and multivariate analyses …
Identifying Children With Special Health Care Needs
The National Survey of Children's Health
A National Profile of Health Care Utilization and Expenditures for Children With Special Health Care Needs
OBJECTIVES: 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. DESIGN: We used data from the 2000 Medical Expenditure …
Commentary
Influences on Children's Oral Health
OBJECTIVES. Despite marked improvements over the past century, oral health in America is a significant problem: caries is the most common chronic disease of childhood. Much oral health research examines influences primarily in the oral cavity or focuses on a limited number of individual-level factors. The purpose of this article was to present a more encompassing conceptual model of the influences on children's oral health. METHODS. The conceptua…
Medicine (33 obras) · Environmental health (26 obras) · Healthcare Policy and Management (21 obras) · Health care (20 obras) · Family medicine (19 obras) · Population (17 obras) · Nursing (15 obras) · Child and Adolescent Health (13 obras) · Public health (12 obras) · Gerontology (10 obras)