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  • Brief Therapy for Anxiety and Depression in the Pediatric Primary Care Setting: Implications and Next Steps

    Abstract Full Text
    JAMA Pediatr. 2017; 171(10):1006-1007. doi: 10.1001/jamapediatrics.2017.2854

    This commentary discusses a study published in JAMA Psychiatry that examined whether a pediatrics-based behavioral intervention targeting anxiety and depression improved clinical outcome compared with referral to outpatient community mental health care.

  • Tribalism in Medicine—Us vs Them

    Abstract Full Text
    JAMA Pediatr. 2017; 171(9):831-831. doi: 10.1001/jamapediatrics.2017.1280
  • Comparative Effectiveness of Clinical-Community Childhood Obesity Interventions: A Randomized Clinical Trial

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    JAMA Pediatr. 2017; 171(8):e171325. doi: 10.1001/jamapediatrics.2017.1325

    This randomized clinical trial examines the extent to which 2 clinical-community interventions improved child body mass index z score and health-related quality of life, as well as parental resource empowerment.

  • Are Tooth Decay Prevention Visits in Primary Care Before Age 2 Years Effective?

    Abstract Full Text
    JAMA Pediatr. 2017; 171(4):321-322. doi: 10.1001/jamapediatrics.2016.4982
  • Improving Access to Evidence-Based Antipoverty Government Programs in the United States: A Novel Primary Care Initiative

    Abstract Full Text
    JAMA Pediatr. 2017; 171(3):211-212. doi: 10.1001/jamapediatrics.2016.3868

    This Viewpoint discusses ways in which the medical community can help low-income families by providing other services, namely free tax preparation, in primary care clinics.

  • In Support of Breastfeeding Support in Primary Care

    Abstract Full Text
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    JAMA Pediatr. 2016; 170(12):1138-1139. doi: 10.1001/jamapediatrics.2016.3390
  • Measles and Measles Vaccination: A Review

    Abstract Full Text
    JAMA Pediatr. 2016; 170(12):1209-1215. doi: 10.1001/jamapediatrics.2016.1787

    This review provides an overview of measles, including information on virus basics, clinical picture and diagnosis, complications, vaccine efficacy, and vaccine complications.

  • Trends in Access to Primary Care for Children in the United States, 2002-2013

    Abstract Full Text
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    JAMA Pediatr. 2016; 170(10):1023-1025. doi: 10.1001/jamapediatrics.2016.0985

    This study uses data from the 2002-2013 Medical Expenditure Panel Survey to describe how access to primary care has changed over the last decade for children.

  • Thyroid Disorders in Children and Adolescents: A Review

    Abstract Full Text
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    JAMA Pediatr. 2016; 170(10):1008-1019. doi: 10.1001/jamapediatrics.2016.0486

    This review provides a practical review of the presentation, evaluation, and treatment of thyroid disorders commonly encountered in a primary care practice.

  • Point of Health Care Entry for Youth With Concussion Within a Large Pediatric Care Network

    Abstract Full Text
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    JAMA Pediatr. 2016; 170(7):e160294. doi: 10.1001/jamapediatrics.2016.0294

    This descriptive epidemiologic study aims to comprehensively describe point of health care entry for children with concussion, overall and by relevant factors including age, sex, race/ethnicity, and payor, to quantify where children initially seek care for this injury.

  • Parenting as Primary Prevention

    Abstract Full Text
    JAMA Pediatr. 2016; 170(7):637-638. doi: 10.1001/jamapediatrics.2016.0225

    This Viewpoint discusses the importance of pediatric and family medical homes in assisting parents in the tasks of protecting, nurturing, guiding, and educating their children.

  • Exploring Parents’ Adversities in Pediatric Primary Care

    Abstract Full Text
    JAMA Pediatr. 2016; 170(4):313-314. doi: 10.1001/jamapediatrics.2015.4459

    The Viewpoint explores the benefits and risks of screening parents for adverse childhood experiences.

  • Usual Care for Adolescent Depression From Symptom Identification Through Treatment Initiation

    Abstract Full Text
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    JAMA Pediatr. 2016; 170(4):373-380. doi: 10.1001/jamapediatrics.2015.4158

    This study of medical records evaluates the appropriateness of follow-up care for adolescents with newly identified depression symptoms in 3 large health systems.

  • International and Interdisciplinary Identification of Health Care Transition Outcomes

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    JAMA Pediatr. 2016; 170(3):205-211. doi: 10.1001/jamapediatrics.2015.3168

    This study uses the Delphi process to survey interdisciplinary health care professionals in an attempt to identify transition outcomes from pediatric to adult health care for adolescents and young adults with special health care needs.

  • Effect of Attribution Length on the Use and Cost of Health Care for a Pediatric Medicaid Accountable Care Organization

    Abstract Full Text
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    JAMA Pediatr. 2016; 170(2):148-154. doi: 10.1001/jamapediatrics.2015.3446

    This study of Medicaid claims data examines the consistency of primary care within an accountable care organization that enrolled a pediatric Medicaid population.

  • JAMA Pediatrics February 1, 2016

    Figure 1: Effect of Attribution Length (Consistent Primary Care) on Annual Cost

    Months of continuous attribution included all months from when patients were initially attributed until the first gap in attribution. Because patients with 3 or more body systems with a chronic condition almost surely have nonzero costs, we used a standard Poisson distribution regression model rather than a zero-inflated model for estimating the effect of chronicity on annual cost. Error bars indicate 95% CI. One to 6 months of attribution indicates the reference category.
  • Implementation of Screening, Brief Intervention, and Referral to Treatment for Adolescents in Pediatric Primary Care: A Cluster Randomized Trial

    Abstract Full Text
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    JAMA Pediatr. 2015; 169(11):e153145. doi: 10.1001/jamapediatrics.2015.3145

    This cluster randomized trial of implementation of Screening, Brief Intervention, and Referral to Treatment reports that training pediatricians can improve substance use screening and intervention.

  • Integrated Medical-Behavioral Care Compared With Usual Primary Care for Child and Adolescent Behavioral Health: A Meta-analysis

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    JAMA Pediatr. 2015; 169(10):929-937. doi: 10.1001/jamapediatrics.2015.1141

    This systematic meta-analysis evaluated whether integrated medical-behavioral primary care leads to improved youth behavioral health outcomes compared with usual care.

  • Predictors of Timing of Transfer From Pediatric- to Adult-Focused Primary Care

    Abstract Full Text
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    JAMA Pediatr. 2015; 169(6):e150951. doi: 10.1001/jamapediatrics.2015.0951

    This cohort study examines the timing of transfer from pediatric- to adult-focused primary care of adolescents and the factors that influence it.

  • Comparative Effectiveness of Childhood Obesity Interventions in Pediatric Primary Care: A Cluster-Randomized Clinical Trial

    Abstract Full Text
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    JAMA Pediatr. 2015; 169(6):535-542. doi: 10.1001/jamapediatrics.2015.0182

    This cluster-randomized clinical trial finds improved body mass index in groups of children whose physicians receive computerized clinical decision support and whose families receive coaching for behavior change.