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Intersecting Health Policy and the Social Determinants of Health in Pediatric / Visekruna, Sanja in Journal of Pediatric Nursing, Vol.37 No.6 (Nov-Dec) 2017 ([03/29/2018]) 

Public ISBD No review available on this record. [article]  inJournal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.62-69 Title : Intersecting Health Policy and the Social Determinants of Health in Pediatric : Type 1 Diabetes Management and Care Material Type: printed text Authors: Visekruna, Sanja, Author ; McGillis Hall, Linda, Author ; Parry, Monica, Author ; Spalding, Karen, Author Publication Date: 2018 Article on page: p.62-69 Languages : English (eng) Original Language : English (eng) Keywords: Type 1 diabetes, Health technology, Health policy, Government, Diabetes nurse educator. Abstract: Theoretical Principles Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care. Phenomena Addressed “The Main Determinants of Health” framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the “street-level bureaucrat” role including “distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions” then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy. Research Linkages These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine. Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27625 [article] Intersecting Health Policy and the Social Determinants of Health in Pediatric : Type 1 Diabetes Management and Care [printed text] / Visekruna, Sanja, Author ; McGillis Hall, Linda, Author ; Parry, Monica, Author ; Spalding, Karen, Author . - 2018 . - p.62-69. Languages : English (eng) Original Language  : English (eng) inJournal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.62-69 Keywords: Type 1 diabetes, Health technology, Health policy, Government, Diabetes nurse educator. Abstract: Theoretical Principles Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care. Phenomena Addressed “The Main Determinants of Health” framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the “street-level bureaucrat” role including “distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions” then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy. Research Linkages These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine. Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27625