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Child Health and the US Pediatric Subspecialty Workforce: Planning for the Future.

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Title: Child Health and the US Pediatric Subspecialty Workforce: Planning for the Future.
Authors: Leslie, Laurel K., Orr, Colin J., Turner, Adam L., Mink, Richard, Leonard, Mary B., Sabadosa, Kathryn A., Vinci, Robert J.
Source: Pediatrics. 2024 Suppl 2, Vol. 153, pS1-S12. 12p.
Subjects: Labor supply statistics, Well-being, Racism, Social determinants of health, Pediatrics, Mental health, Medical care costs, Cost control, Population geography, Treatment effectiveness, Children's health, Poverty, Sociodemographic factors, Medical needs assessment
Geographic Terms: United States
Abstract: This article opens a multi-article Pediatrics supplement that provides a rigorous analysis of the projected pediatric subspecialty workforce in the United States. Congenital variations, epigenetics, exposures, lifestyle, preventive care, and medical interventions from conception through young adulthood set the stage for health and wellbeing in adulthood. Although care provided by pediatric subspecialists is associated with better outcomes and lower costs compared with adult providers, the authors of recent articles in the lay and medical literature have questioned the capacity of pediatric subspecialists to meet children's health care needs. This article highlights that, despite numerous advances in prevention, diagnosis, and treatment, the last decade has witnessed increasing numbers of children with acute or chronic physical and mental health disorders, including medical complexity, obesity, type 2 diabetes, anxiety, depression, and suicidality, all of which are exacerbated by poverty, racism, and other social drivers of health. In this article, we then describe the variability in the demographics, practice characteristics, and geographic distribution of the 15 core pediatric subspecialties certified by the American Board of Pediatrics. We then discuss the rationale and approach to the development of a pediatric subspecialty workforce model that forecasts subspecialist supply from 2020 to 2040 for 14 subspecialties at the national and subnational levels (not including the newest subspecialty, pediatric hospital medicine), accounting for US Census Bureau child population projections. The model does not account for the unique physical and mental needs of individual children, nor does it address the increasingly precarious commitment to, and financing of, pediatric subspecialty care in the US health care system impacting market demand. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Child Health and the US Pediatric Subspecialty Workforce: Planning for the Future.
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  Data: This article opens a multi-article Pediatrics supplement that provides a rigorous analysis of the projected pediatric subspecialty workforce in the United States. Congenital variations, epigenetics, exposures, lifestyle, preventive care, and medical interventions from conception through young adulthood set the stage for health and wellbeing in adulthood. Although care provided by pediatric subspecialists is associated with better outcomes and lower costs compared with adult providers, the authors of recent articles in the lay and medical literature have questioned the capacity of pediatric subspecialists to meet children's health care needs. This article highlights that, despite numerous advances in prevention, diagnosis, and treatment, the last decade has witnessed increasing numbers of children with acute or chronic physical and mental health disorders, including medical complexity, obesity, type 2 diabetes, anxiety, depression, and suicidality, all of which are exacerbated by poverty, racism, and other social drivers of health. In this article, we then describe the variability in the demographics, practice characteristics, and geographic distribution of the 15 core pediatric subspecialties certified by the American Board of Pediatrics. We then discuss the rationale and approach to the development of a pediatric subspecialty workforce model that forecasts subspecialist supply from 2020 to 2040 for 14 subspecialties at the national and subnational levels (not including the newest subspecialty, pediatric hospital medicine), accounting for US Census Bureau child population projections. The model does not account for the unique physical and mental needs of individual children, nor does it address the increasingly precarious commitment to, and financing of, pediatric subspecialty care in the US health care system impacting market demand. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=175244236
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1542/peds.2023-063678B
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: S1
    Subjects:
      – SubjectFull: Labor supply statistics
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Racism
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Cost control
        Type: general
      – SubjectFull: Population geography
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Children's health
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Child Health and the US Pediatric Subspecialty Workforce: Planning for the Future.
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            NameFull: Leslie, Laurel K.
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            NameFull: Orr, Colin J.
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            NameFull: Turner, Adam L.
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            NameFull: Mink, Richard
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            NameFull: Leonard, Mary B.
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            NameFull: Sabadosa, Kathryn A.
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              Text: 2024 Suppl 2
              Type: published
              Y: 2024
          Identifiers:
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              Value: 00314005
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              Value: 153
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