Child Health in America
Making a Difference through Advocacy
Publication Year: 2006
Published by: The Johns Hopkins University Press
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Something is wrong in America. We have the finest medical capability in the world and spend over $1,800,000,000,000 on health care each year, but our children still confront serious physical and mental health concerns. Families of children with disabilities go without comprehensive support. There are unconscionable disparities in child health status between white and nonwhite, rich and poor, educated and less...
CHAPTER ONE: Child Health Advocacy
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Health care in the United States is second to none, and the available technology is advanced beyond anything that Jules Verne or H. G. Wells could have imagined. The tools for the prompt medical diagnosis, surgical management, and rehabilitative care of the child with an inflamed appendix are readily available. The same cannot be claimed...
CHAPTER TWO: A History of Child Health Advocacy
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Throughout American history, advocacy has been a natural component of the child health enterprise. As a backdrop to the present, letâs revisit the experiences of some of the many men and women who have made a difference by speaking up. These stories show not only how child health advocates witnessed problems but also how they documented...
CHAPTER THREE: The Current Status of Child Health
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When Lauren Elizabeth Matthews drew her first breath at 12:05 a.m. on January 1, 2000, she became a citizen of the wealthiest nation the world has ever known. She joined 71 million children and youth aged 0â18, representing a quarter of the total U.S. population.1 By comparison, youth were more than 35 percent of the population in 1960 during the...
CHAPTER FOUR: Clinical Advocacy
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Advocating clinically for individual children and their families comes naturally to child health providers. The office, the ward, the nursery, are comfort zones. Nonetheless, it is at the clinical level that many physicians and nurses feel dissatisfied, and even disgruntled, about their inability to make a difference. They worry that they cannot alleviate suffering stemming from family, economic, community-based, and...
CHAPTER FIVE: Group Advocacy
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Advances in child health often depend on someone recognizing a pattern. John Snow discovers that all his patients with debilitating diarrhea obtain their water from the Broad St. pump;1 Martha Eliot observes that children from the cold, dark north are far more likely to suffer from rickets than children from the sunny south;2 Steven Gortmaker and William Dietz find that boys and girls who watch many hours of television...
CHAPTER SIX: Legislative Advocacy
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There are at least three reasons to confront child health problems through the policy route: social justice, administrative burden, and creative pragmatism. Driven by concerns for justice, some child health advocates deem that societal forces are hurting rather than helping children. They find it unfair that any child lacks health insurance or that any...
CHAPTER SEVEN: Professional Advocacy
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This bookâs chapters discuss how professionals, families, and community organizations collaborate to improve the health of children and youth. In the best of all possible worlds, child health professionals act on their convictions with few constraints. But in the real world, forces within and outside the profession often prevent child health professionals...
CHAPTER EIGHT: Political Will
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Chapter 1 ends with a description of Julius Richmondâs model of advocacy, which places equal importance on three components: knowledge base, social strategy, and political will. Chapter 3 reviews the knowledge base in some detail, and chapters 4 through 7 delineate social strategies for child health advocacy in clinical care, group programming, legislative/ systems reform, and professional activities. The last and perhaps the...
Appendix: Resources Online
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Page Count: 312
Illustrations: 5 halftones, 11 line drawings
Publication Year: 2006