[Children and adolescents in future health care--comprehensive health care for children requires effective pediatric departments].
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In summary, comprehensive health care for women begins first with a paradigm shift that acknowledges women's health is more than reproductive health. Second, it requires viewing women's health issues from an across the lifespan perspective. This perspective includes addressing women's health beginning with the formative years, through reproductive health and sexuality to the frail elderly. The OWH has launched a statewide effort, with input from the leadership of Georgia, including an eleven-member advisory council attached to the office to develop a comprehensive women's health plan. The OWH will partner with public and private organizations, academic institutions and other government agencies to devise a course of action that addresses the health needs of all women, of all ages, including racial and ethnic backgrounds, and socioeconomic and education levels. This plan will serve as a guide for those organizations whose interest is meeting Healthy People 2010 broad objective of increasing the quality and years of healthy life for women.
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OBJECTIVES: To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care. DESIGN: A pretest-posttest randomized control trial. SETTING: An inner-city municipal teaching hospital. SAMPLE: Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions. INTERVENTIONS: A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care. MEASUREMENTS AND RESULTS: Nine elements of comprehensive care established in the literature as components of a basic package of care for those with chronic conditions. The PHC intervention addressed gaps in services and improved both the acquisition and maintenance of elements of comprehensive care. CONCLUSIONS: These data suggest mechanisms through which comprehensive care programs may contribute to the improvement in psychological and social outcomes previously reported for those in the PHC intervention.
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