Assessing child health is critical to a variety of child health, educational, and
social programs, as well as to clinical research and practice. However, despite the
apparent wealth of measures available in health, education, and legal and social welfare
systems, little agreement exists as to what are the most important measures and for
what domains of health. Development of improved measures may capitalize on advances
in conceptualization of child health, including the dynamic nature of the interplay
of child health and development over time. The need for enhanced measures can be illustrated
by consideration of various aspects of pediatric care: well-child care, acute illness
care, and the management of children with special health care needs. In particular,
the strong theoretical perspectives on aspects of development such as cognition and
behavioral development need to be informed by the experience of various states of
health and their developmental implications. If generalist academicians are to further
their research and educational mission, they must engage, and urgently, in the development
and measurement of child health.
Key Words
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References
- Bayley Scales of Infant Development. 3rd ed. Psychological Corporation, San Antonio, Tex2005
- Weschler Intelligence Scale for Children—Fourth Edition Integrated. Harcourt Assessment Inc, San Antonio, Tex2007
- A comparative review of developmental screening tests.Pediatrics. 1990; 86: 547-554
- Value of parents' estimates of children's developmental ages.J Pediatr. 1995; 127: 831-835
- Manual for Child Behavior Checklist and Revised Child Behavior Profile. Queen City Printers, Burlington, Vt1983
Child Trends DataBank. Available at: http://www.childtrendsdatabank.org. Accessed December 7, 2007.
http://www.fcd-us.org/issues/issues_show.htm?doc_id=447092. Accessed December 14, 2007.
- America's Children: Key National Indicators of Well-Being. US Government Printing Office, Washington, DC2007
- Model indicators for maternal and child health: an overview of process, product and applications.Matern Child Health J. 1998; 2: 241-256
- Validating a self-report measure of global subjective well-being to predict adverse clinical outcomes.Qual Life Res. 2006; 15: 675-686
Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, NY, June 1946; signed July 22, 1946, by representatives of 61 states (Official Records of the World Health Organization, no. 2, p.100) and entered into force on 7 April 1946.
QualityMetric: Health Outcomes Solutions. Available at: http://www.qualitymetric.com/products/. Accessed December 7, 2007.
World Health Organization. International Classification of Functioning, Disability and Health (ICF). Available at: http://www.who.int/classifications/icf/en/. Accessed December 7, 2007.
- Children's Health, the Nation's Wealth: Assessing and Improving Child Health. National Academy Press, Washington, DC2004
- Measurement of children's health.Ambul Pediatr. 2004; 4: 365-370
- Measuring health status and quality of life for US children: relationship to race, ethnicity, and income status.Ambul Pediatr. 2004; 4: 377-386
- Child Health Questionnaire (CHQ): A User's Manual. Health Institute, New England Medical Center, Boston, Mass1996 (30–32)
- Validating measures of pediatric health status, functional status, and health-related quality of life: key methodological challenges and strategies.Ambul Pediatr. 2004; 4: 358-364
- Quality-of-life measures in chronic disease of childhood.Health Technol Assess. 2001; 5: 1-157
- Rethinking well-child care in the United States: an international comparison.Pediatrics. 2006; 118: 1692-1702
- Shonkoff J.P. Philips D.A. From Neurons to Neighborhoods: The Science of Early Childhood Development. National Academies Press, Washington, DC2000
- Risks and consequences of childhood and adolescent obesity.Int J Obes Relat Metab Disord. 1999; 23: S2-S11
- Self-esteem and obesity in children and adolescents: A literature review.Obesity Res. 1995; 3: 479-490
- Psychological and emotional development, intellectural capabilities and body image in short normal children.J Endocrinol Invest. 2002; 25: 321-328
- Psychosocial outcome of children evaluated for short stature.Arch Pediatr Adolesc Med. 1997; 151: 1017-1023
- Are short normal children at a disadvantage? The Wessex Growth Study.BMJ. 1997; 314: 97-100
- Effect of growth hormone treatment on quality of life of short stature children.Horm Res. 1995; 44: 1-5
- Behavioral and developmental effects of preventing iron-deficienccy anemia in healthy full-term infants.Pediatrics. 2003; 112: 846-854
- Hunger: its impact on children's health and mental health.Pediatrics. 2002; 110: e41
Bright Futures at Georgetown University. Bright Futures in practice: physical activity. Available at: http://www.brightfutures.org/physicalactivity/. Accessed December 7, 2007.
- The germless theory of allergic disease: revisiting the hygiene hypothesis.Nat Rev Immunol. 2001; 1: 69-75
- Injury Epidemiology. Research and Control Strategies. 2nd ed. Oxford University Press, New York, NY1998 (117–123)
- Health care for children and youth in the United States: annual report on patterns of access, utilization, quality and expenditure by income.Ambul Pediatr. 2005; 5: 6-44
- Acute illnesses in young children and family responses.Acta Paediatr Scand. 1987; 76: 624-630
- Parental availability for the care of sick children.Pediatrics. 1996; 98: 226-230
- Working parents: what factors are involved in their ability to take time off from work when their children are sick?.Arch Pediatr Adolesc Med. 1999; 153: 870-874
- Prediction of resource use during acute pediatric illnesses.Arch Pediatr Adolesc Med. 2003; 157: 990-996
- Is my child normal yet? Correlates of vulnerability.Pediatrics. 1989; 83: 355-363
- The morbidity of cardiac non-disease in school children.N Engl J Med. 1967; 276: 1008-1013
- Avoiding the unintended consequences of growth in medical care—how might more be worse?.JAMA. 1999; 281: 446-453
- The vulnerable child syndrome revisited.J Dev Behav Pediatr. 1995; 16: 47-53
- Maternal rating of child health at school age: does the vulnerable child syndrome persist?.Pediatrics. 1995; 16: 47-53
- Otitis media, hearing loss and language learning: controversies and current research.J Dev Behav Pediatr. 2004; 25: 110-122
- Behaviour and cognitive outcomes from middle ear disease.Arch Dis Child. 1999; 80: 28-35
- The relationship of otitis media in early childhood to attention dimensions during the early elementary school years.J Dev Behav Pediatr. 2006; 27: 281-289
- Illness and the development of social competence.J Dev Behav Pediatr. 1997; 18: 120-124
- Adaptation to Chronic Childhood Illness. American Psychological Association, Washington, DC1999 (Chap 5)
- Families and children's chronic conditions: knowledge development and methodological considerations.Sch Inq Nurs Pract. 1997; 11: 259-290
- Chronically Ill Children and Their Families. Jossey-Bass Publishers, San Francisco, Calif1985
- Framework for identifying children who have chronic conditions: the case for a new definition.J Pediatr. 1993; 122: 342-347
- Childhood chronic illness: prevalence, severity and impact.Am J Public Health. 1992; 82: 364-374
- Prevalence and impact of disabling chronic conditions on childhood.Am J Public Health. 1998; 88: 610-617
- An epidemiologic profile of children with special health care needs.Pediatrics. 1998; 102: 117-123
- Chronic illness, disability and mental and social well-being.Pediatrics. 1987; 79: 805-813
- Prevalence of psychopathology among children and adolescents.Am J Psychiatry. 1998; 155: 715-725
- The NIMH Diagnostic Interview Schedule for Children version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA Study.J Am Acad Adolesc Psychiatry. 1996; 35: 865-877
- Developmental, Learning and Emotional Problems. Health of Our Nation's Children, 1988. Advance Data 190. National Center for Health Statistics, Hyattsville, Md1990
- Consistent but not the same. Effect of method on chronic condition rates.Arch Pediatr Adolesc Med. 1995; 149: 1105-1110
- Access, Quality, and Expenditures of Health Care for Children with Special Health Care Needs in the United States. Harvard School of Public Health, Boston, Mass2004 (11)
- Chaning patterns of conditions among children receiving Supplemental Security Income disability benefits.Arch Pediatr Adolesc Med. 1999; 153: 80-84
- Preliminary observations on maternal rating of health of children: data from three subspecialty clinics.J Clin Epidemiol. 1988; 41: 323-329
- Preliminary analysis of developmental observations in a survey of morbidity in infants.Early Hum Dev. 1981; 5: 377-393
- Risk and resilience among children and youth with disabilities.Arch Pediatr Adolesc Med. 1996; 150: 692-698
- Issues involved in the definition and classification of chronic health conditions.Pediatrics. 1993; 91: 787-793
- Families Illness and Disability. An Integrative Treatment Model. Basic Books, New York, NY1994 (chap 2–3)
- The outcomes of very low birth weight infants: are we asking the right questions?.Pediatrics. 1997; 99: 869-876
- Measuring outcomes in attention-deficit/hyperactivity disorder.Ambul Pediatr. 2007; 7: 57-59
- Using the International Classification of Functioning, Disease and Health in attention-deficit/hyperactivity disorder: separating the disease from its epiphenomena.Ambul Pediatr. 2007; 7: 132-139
- Academic and educational outcomes of children with ADHD.Ambul Pediatr. 2007; 7: 82-90
Dreyer BP, Schonfeld DJ; for the Ambulatory Pediatric Association Research Committee. Content outline for a curriculum in research education for general academic fellowship programs. April 24, 2004. Available at: http://www.ambpeds.org/site/research/DraftCurriculum.htm. Accessed December 7, 2007.
http://ctsweb.org. Accessed December 19, 2007.
- The health of children.Health Serv Res. 1998; 33: 1001-1039
Article Info
Publication History
Accepted:
November 21,
2007
Received:
February 5,
2007
Identification
Copyright
© 2008 Ambulatory Pediatric Association. Published by Elsevier Inc. All rights reserved.
