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BACKGROUND: Electronic health record (EHR)-linked patient portals are a promising approach to facilitate shared decision-making between families of children with chronic conditions and pediatricians. This study evaluated the feasibility, acceptability, and impact of MyAsthma, an…
OBJECTIVE: To assess the utility of imputing race/ethnicity using U.S. Census race/ethnicity, residential address, and surname information compared to standard missing data methods in a pediatric cohort. DATA SOURCES/STUDY SETTING: Electronic health record data from 30…
While the Great Recession technically ended in June 2009, many families, including those with children, continue to feel the effects of the United States’ most serious economic contraction since the Great Depression. As of 2013, 14.7 million children were in poverty, a significant…
ChildStat is a management accountability and quality improvement process that was created to examine New York City’s child welfare outcomes. This 28-page guide describes the history, goals and core features of the approach, along with lessons learned about implementation. It also…
ABSTRACT: Quality improvement (QI) efforts are an indispensable aspect of health care delivery, particularly in an environment of increasing financial and regulatory pressures. The ability to test predictions of proposed changes to flow, policy, staffing, and other process-level…
ABSTRACT: A youth-driven, social media-based campaign aimed at improving knowledge about and increasing testing for sexually transmitted infections (STIs)/HIV among youth 13–17 years old was assessed by: tracking website/social media use throughout the campaign; online…
OBJECTIVE: To develop guidelines for performing an initial skeletal survey (SS) for children, 24 months of age presenting with bruising in the hospital setting, combining available evidence with expert opinion. METHODS: Applying the Rand/UCLA Appropriateness Method, a…
BACKGROUND: Missed opportunities for human papilloma virus (HPV) vaccination are common, presenting a barrier to achieving widespread vaccine coverage and preventing infection. PURPOSE: To compare the impact of clinician- versus family-focused decision support, none, or both on…
ABSTRACT: We evaluated 1,359 adults newly diagnosed with HIV in Philadelphia in 2010-2011 to determine if diagnosis site (medical clinic, inpatient setting, counseling and testing center (CTC), correctional facility) impacted time to linkage to care (difference between date of…
Although the intent of the federal Meaningful Use (MU) program is to improve the health of children and adults through adoption and use of electronic health records (EHRs), pediatricians face unique obstacles to participation in this program. In addition to known problems with…