HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
Pediatricians have always distinguished themselves among medical professionals as child advocates. Nowhere else is this more evident than in our role as experts in the care of chronically ill children. As managed care sweeps across the country, defining how care will be reimbursed, we as advocates must take a politically active stand and assure that these children are not forgotten in managed care's attempt to "define" patient populations. This issue of Pediatrie Annals contains excellent reviews on these issues. After studying these articles, the practitioner should be better equipped to discuss the issue of care for the special needs child in the arena of managed care and statefunded medical care.
1. Up to 10% of the pediatric population is currently thought to have some functional limitation due to chronic medical issues or disabilities.
2. Complaints by families of children with special healthcare needs about physician performance usually focus on medical issues rather than on concerns about community resource management.
3. Governmental entitlement programs are usually the most stable and accessible forms of support for families of children with special healthcare needs.
4. Children with activity-limiting conditions are twice as likely as other children to be hospitalized over the course of a year and spend four times as many days in the hospital as other children.
Answers to the Pretest:
1.A 2. B 3. B 4.A