Healthcare Partnerships for Pediatric Adherence: Promoting Collaborative Management for Pediatric Chronic Illness Care

ISBN-13: 9783319136677 / Angielski / Miękka / 2015 / 180 str.

David D. Schwartz; Marni E. Axelrad; Marisa Hilliard

Opis

Presents an innovative systems-based approach to fostering treatment adherence in children and adolescents with chronic illness. This book looks at themultiple factors that contribute to nonadherence and the different components that comprise effective intervention. It then presents a model for integrating these components into a working whole, which the authorsargue is necessary to address the co-morbidities and complications that characterize most patients who present with adherence difficulties in real world clinical settings. The overarching theme is that successful illness management depends on developing healthcare partnerships between patients, families, and providers, and on providing support for families to navigate the complex healthcare system.Over the past 20 years there have been significant advances in our understanding of nonadherenceand in the development of empirically-supported interventions, yet there has been virtually no change in overall rates of nonadherence, which hover around 50%. This book is intended to help bridge this gap between research advances and lagging improvements in children s health.This volume includes: practical guidelines for clinicians to screen for nonadherence; a model for triaging patients to different levels and types of intervention; best practices for interventions for different problems; strategies for fostering teamwork around illness management; and education for professionals on how best to promote and support health-maintaining behaviors in their patients. As such, this volume should be of significant value to clinicians who wish to help children and their families be more successful with illness management. The book also provides a blueprint for developing and implementing an integrated adherence service that will be of interest to clinical directors, administrators, and policy-makers working in pediatric settings. "

Recenzje

"This book provides a concise overview of research, practice, and system implications for care adherence in children with chronic conditions. It would be a useful resource for professionals who treat children and adolescents with chronic conditions, as well as for policymakers and healthcare system administrators." (Anne Turner-Henson, Doody's Book Reviews, July, 2015)

Spis treści

Part I: Snapshot from the Field.- Introduction: Definitions, Scope, and Impact of Nonadherence.- Conceptualizing Adherence.- Barriers and Facilitators.- Interventions to Promote Adherence.- The Importance of Development: Early and Middle Childhood.- Adherence in Adolescence.- The Role of Parents.- Poverty, Stress, and Chronic Illness Management.- Racial/Ethnic Disparities and Adherence.- Part II: Implications for Policy and Practice.- Rethinking Self-Management.- Healthcare Partnerships.- Part III: Looking Ahead.- Screening for Nonadherence in Pediatric Patients.- A Comprehensive Behavioral Health System for Identifying and Treating Nonadherence.- Pulling it All Together: Clinical Conclusions.

Blurb

This timely professional reference and educational resource applies current concepts of pediatric adherence to medical treatment to create a model for a family-centered, collaborative approach to managing chronic illness. At its core are the latest findings on adherence: the factors that encourage it, the barriers that derail it, and the most effective interventions for its improvement. The book's developmental lens highlights how adherence waxes and wanes across different stages of childhood and adolescence, and specialized chapters analyze social realities exacerbating adherence problems. And its end product is a framework for how patients, parents/caregivers, and providers can work together effectively for improved adherence and optimum outcomes.

Included in the coverage:

• The scope and impact of nonadherence.
• Poverty, stress, and chronic illness management.
• Racial/ethnic health disparities and adherence.
• Reconsidering the idea of self-management.

·         Screening for nonadherence in pediatric patients.

 

·         A comprehensive behavioral health system for identifying and treating nonadherence.

 

Healthcare Partnerships for Pediatric Adherence offers relevant contemporary perspective for pediatricians looking for new ways to reduce treatment failure, improve support to patients and their families, and promote patient involvement in their own care.