PubMed Health⌕ Search

Biomedical subjects

E L Schor

Publications and source records attributed to E L Schor.

10 recordsLinked to original sources
PubMed1989

Foster care.

Explore the source record for details and available documents.

Child↗
PubMed1988

Foster care.

The placement of children in foster care is a signal that families are in trouble and that our social system is struggling. Foster care, designed to provide remedial services to the child and family and thus to facilitate family reconstitution, often fails. Health care of children in foster care cannot be separated from the circumstances that led to their placement or from the structure and operation of the foster care system itself. Physicians caring for children in foster care should be aware of the challenges presented by these children's high rate of chronic illness and emotional problems and by the barriers imposed by the foster care system.

Child↗
PubMed1988

Families, family roles, and psychological diagnoses in primary care.

This study examined the effect of belonging to a specific family on rates and occurrence of psychological diagnoses among the family members. Data were obtained from 693 families totaling 2907 parents and children during ambulatory care visits to a prepaid health care center. Families tended to have the majority of their members either with or conversely without a psychological diagnosis. The likelihood of having a psychological diagnosis was increased by 35% if another family member had been so diagnosed. Consequently, a small (3%) proportion of families accounted for a large (25%) proportion of these diagnoses. Children whose fathers were high utilizers of general health care services, or whose parents, particularly mothers, had a psychological diagnosis, were significantly more likely to have a diagnosis in this category as well. Families in which both parents had such a diagnosis were twice as likely to have an affected child. Siblings appeared not to exert any effect on one another in this regard. Family size and birth order had no effect on the incidence of psychological diagnoses.

Adolescent↗
PubMed1987

Unintentional injuries. Patterns within families.

The occurrence of unintentional injuries is known to be influenced by physical and socioeconomic environmental factors as well as human behavior. Questions remain about how personal characteristics interact with the social, psychological, and physical environment to increase the risk of injury. The present study investigated the role of families in the injury experience of individual family members. Health encounter data from 693 families over a six-year period were analyzed. A small number of families accounted for a disproportionately large number of visits for injuries. Individual members of families tended to have similar rates of injury, and these rates were stable over time. Individual accident experience is influenced by the family to which one belongs. Injury prevention programs may find increased success by directing intervention strategies toward families.

Adolescent↗
PubMed1986

Use of health care services by children and diagnoses received during presumably stressful life transitions.

Transition periods in the lives of children are potentially stressful and might therefore be associated with adverse changes in children's physical or emotional health. The computerized medical records of 1,521 children continuously enrolled in a prepaid health plan for 6 years were analyzed to identify if such a trend was present. The overall rates of children's health care use steadily decline with increasing age until early adolescence, at which time girls' rates modestly increase and boys' continue to decline. However, the prevalence of diagnoses for which an emotional basis may be presumed increases markedly during two major transitional periods: (1) early elementary school and (2) early adolescence. During both periods, there are notable differences between boys and girls with regard to rates and temporal patterns. Girls do not demonstrate the same increased rates during elementary school years as do boys. The study provides evidence from population-based data that for some children early school years and adolescence are times of increased stress. Children who are once diagnosed as having an emotional problem, presumably related to stressful life transitions, tend to continue having similar difficulties.

Acute Disease↗
PubMed1977

Nonphysician educators.

Explore the source record for details and available documents.

Education, Medical, Undergraduate↗