NSG 6435 week 1 discussion
- What are the sources of pediatric primary care in the United States? Are these sources sufficient for providing health-care services to the pediatric population? Why or why not?
The American Academy of Pediatrics created Bright Futures as a guideline for prevention and health promotion for infants, children, adolescents, and their families. This organization consists of 66,000 pediatricians, and their guidelines is considered the standard for preventive healthcare services to infants, children, and adolescents. The Medicaid is a no cost program for patients who meet the income guidelines. Medicaid in California utilizes these guidelines along with the use of early and periodic screening diagnosis and treatment program (EPSDT) (American Academy of Pediatrics, 2019). NSG 6435 week 1 discussion.
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There are 9 pediatric care measures: immunization status for children and adolescents, well-child visits for the first 15 months of the pediatric patient’s life, wellness visits for children ages 3 and 6, and adolescent wellness visits that includes preventative dental care, assessment of the patient’s BMI both children and adolescent, and chlamydia screening for female patients. California also has a partnership with managed care organizations or MCO’s, which focuses on certain pediatric preventive care such as body mass index, immunizations for 2-year-old children. Approximately 90% of children who are insured through publicly funded insurance receive services through MCO. MCO provides health education material for Vietnamese, Cambodian, Chinese, Hmong, Farsi, Korean, Lao, Spanish, Russian, and Armenian families (American Academy of Pediatrics, 2019).
These sources are adequate, since the preventative healthcare services are provided and outlined. Wellness appointments allows the parent, child, and provider to regularly assess the child’s development milestones. The provider can identify any deficiencies or developmental delay and address them accordingly with referrals based on the child’s deficiency. For example, a speech delay, it is appropriate to refer the child to a speech therapist to determine if there is a developmental delay (American Academy of Pediatrics, 2019). NSG 6435 week 1 discussion.
- Are there certain pediatric populations that lack access to health-care services? Why?
There are many children that reside in the United States lack access to health-care services. This is due to the structural gaps in the healthcare programs, new programs are being established to serve low-moderate income and working status does not determine eligibility for these families (Racine, A.D.,2016). Minority children who lack access to healthcare can result in health disparities as children and adults. Approximately 15 million children in the United States or 21% live below poverty with an income level of $22,050 per year, this income for a family of 4. Poverty can hinder the child’s ability to learn and creates emotional, social, and behavioral issues. (Kuo et al., 2012).
- What are the barrier’s to children in accessing health-care services in the United States? Why do these barriers exist?
Poverty is the barrier that impedes access to health-care services in the United States. Other factors that contribute to barriers include: health insurance status, obesity, and children of minority receive basic health and dental care. Children are challenged with numerous social challenges within their families, schools, communities as well as environmental factors. Children and adolescents need efficient and effective healthcare and dental services. The provider must ask the child’s parents if education is needed for development milestones, obesity, breastfeeding, environmental health, mental health, and family violence (Kuo et al., 2012). NSG 6435 week 1 discussion
Reference
American Association of Pediatrics. (2019). Bright Futures. Retrieved from https://brightfutures.aap.org/states-and-communities/Pages/California.aspx
Racine, A.D. (2016), Child Poverty and the Health Care System. Academic Pediatrics, 16 (3 Suppl) S83-S89 https://doi-org.contentproxy.phoenix.edu/10.1016/j.acap.2015.12.00
Kuo, A. A., Etzel, R. A., Chilton, L. A., Watson, C., & Gorski, P. A. (2012). Primary care pediatrics and public health: meeting the needs of today’s children. American journal of public health, 102(12), e17-23. NSG 6435 week 1 discussion