+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Personal viewpoint: eclecticism in health services for developmental disorders

, : Personal viewpoint: eclecticism in health services for developmental disorders. Journal of Paediatrics and Child Health 36(3): 205-207

The term 'eclectic', as applied to health care for children with developmental disorders, portrays an individualized, adaptive service response to local constraints and pressures. While this may appear appropriate for the local setting, the end result is a broad diversity of health care approaches. This paper discusses three separate processes that interact at a local level, increasing the likelihood of an eclectic local model of health care for this population of children. The first process draws from the direct clinical work. Variable training, knowledge and skills among health care providers, in combination with differing beliefs around the nature of the problems and their management leads to health care which directly reflects the attributes of the local clinicians. A separate, second process fuelling variability is the differing models of departmental responsibility across Australia - which Government departments fund which aspect of care for children with disabilities. The final process relates to funding streams for health care. State public health, federal Medicare and private insurance all support health services for children with disabilities, with the financial incentives (budgets compared to fee-for-service) driving a divergence of practice. This paper concludes that the external political, administrative and financial frameworks within which health care is constructed will continue to promote clinical eclecticism to a degree that would probably be considered unacceptable in other areas of child health care. The solution can only arise from within the clinical work itself, with greater clarity of understanding around the nature of the disorders, the outcomes for which health care takes responsibility, and an increasing focus on an evidence based set of approaches towards achieving these.


PMID: 10849216

Other references

Dhuci, O., 1962: On prevention and expertise in occupational eczema. Shendetesia Popullore 6: 20-27

Anonymous, 2013: Evaluation of Three Universal Extractants for the Determination of P, NO3- and K in Some Soils of Ethiopia. The objective of this study was to assess the effectiveness of selected universal soil extractants (0.01 M CaCl<sub>2</sub>.2H<sub>2</sub>O, 0.01 M BaCl<sub>2</sub>, 0.02 M SrCl<sub>2</sub>.6H<sub...

Ishii, Y.; Tamura, H.O.i, 2003: Sulfoconjugation of bisphenol A in a human neuroblastoma cell line, NB-1. Bisphenol A (BPA) is a common environmental endocrine disrupter and BPA sulfate has been demonstrated as one of metabolites of BPA. Since it has been observed to have effects on the central nervous system (CNS), we examined the effects of sulfocon...

Tobias V.I., 1985: New species of braconids hymenoptera from afghanistan. Rogas parvicauda sp. nov., Chelonus curvipes sp. nov. Microchelonus heraticus sp. nov., Disophrys hyalipennis sp. nov., Aspilota rufa sp. nov. were proposed and described. Nineteen illustrations are provided.

Kies, M.W.; Martenson, R.E.; Deibler, G.E., 1972: Myelin basic proteins. Advances in Experimental Medicine and Biology 32(0): 201-214

Yue, M.; Aishu, R.; Gang, F., 2017: Effects of salvianolic acid B on osteogenic differentiation of human periodontal ligament cells. 目的 探讨中药丹参主要活性成分丹酚酸B(Sal B)对人牙周膜细胞(hPDLCs)成骨分化的影响。方法 取第3代hPDLCs进行实验,运用甲基噻唑基四唑(MTT)法检测不同浓度丹酚酸B对hPDLCs增殖活性...

Elledge, E.S.; Moss, J., 1990: Papillary cystadenoma lymphomatosum (Warthin's tumor). A changing incidence?. Ear, Nose, & Throat Journal 69(11): 732, 735-6

Yamauchi, J.; Akiyama, N.; Sugimoto, H.; Tomikawa, S.; Mita, K.; Bekku, Y.; Ogawa, Y.; Imai, T., 1989: Uselessness of donor-specific transfusions or prophylactic ALG with therapeutic cyclosporine doses in living related renal transplantation between one-haplotype matched pairs. Transplantation Proceedings 21(1 Pt 2): 1663-1666

Russell, F., 1900: Anthropology At The New York Meeting Of The American Association. Science 12(294): 265-269

Plocek, J., 1974: Introduction to the prescription of infusion solutions. II. Ceskoslovenska Farmacie 23(8): 326-332