Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Day care dilemma: When 'sick' children are unnecessarily sent home

19.04.2010
In a new study, researchers at the Medical College of Wisconsin and Children's Hospital of Wisconsin, working with Community Coordinated Child Care (4C's), have found that many metropolitan Milwaukee child care directors would unnecessarily send children with mild illnesses home.

Andrew N. Hashikawa, M.D., and colleagues surveyed 305 child care centers in metropolitan Milwaukee to see how closely directors followed national guidelines from the American Academy of Pediatrics (AAP) and the American Public Health Association (APHA) and to identify characteristics associated with unnecessary exclusion decisions.

Their findings "Unnecessary Child Care Exclusions in a State That Endorses National Exclusion Guidelines," will be published in the May issue of Pediatrics (published online April 19).

Dr. Hashikawa is an instructor in pediatrics and a third year fellow in pediatric emergency medicine at the Medical College and practices at Children's Hospital.

In 2005, more than two-thirds of children in the United States who were under five required nonparental child care, a vast majority of whom received care in a child care setting. "Children who are excluded from child care place a significant economic burden on parents, businesses, and health care resources." Dr. Hashikawa points out.

Mild acute illness accounts for the majority of child care exclusions, many of which have been described as not medically indicated. Previous studies in states without guidelines showed rates varying from 33 percent to 100 percent. The national AAP and APHA guidelines were developed to address this high rate of inappropriate exclusions.

To examine adherence to these guidelines, the researchers used five scenarios for children with mild illness consisting of a cold, conjunctivitis, gastroenteritis, fever and tinea capitis (a scalp infection). Child care directors were surveyed by telephone and were asked which of these children would be required to go home immediately. None of these scenarios should warrant exclusion, according to national guidelines.

The researchers found that overall, directors would unnecessarily exclude 57 percent of children with mild illnesses. Responses ranged from eight percent of directors unnecessarily excluding a child with a cold, to 84 percent of directors unnecessarily excluding a child with tinea capitis. Directors with greater child care experience and directors of larger centers made fewer unnecessary exclusion decisions.

"This high rate of inappropriate exclusions persists despite state endorsement of the national AAP and APHA guidelines," says Dr. Hashikawa.

Currently there are no formalized ongoing state training programs available for child care directors to learn about appropriate exclusion guidelines.

"The next step," Dr. Hashikawa suggests, "Is to develop formalized state training programs that child care directors could use to learn about appropriate exclusion guidelines for mild illness. Our meetings and focus groups with local day care directors indicate that they would overwhelmingly welcome the opportunity to take continuing education classes if they were made available by the state."

Toranj Marphetia | EurekAlert!
Further information:
http://www.mcw.edu

More articles from Studies and Analyses:

nachricht Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT

nachricht Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Significantly more productivity in USP lasers

In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.

Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...

Im Focus: Shape matters when light meets atom

Mapping the interaction of a single atom with a single photon may inform design of quantum devices

Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...

Im Focus: Novel silicon etching technique crafts 3-D gradient refractive index micro-optics

A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.

Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...

Im Focus: Quantum Particles Form Droplets

In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.

“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...

Im Focus: MADMAX: Max Planck Institute for Physics takes up axion research

The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.

The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ICTM Conference 2017: Production technology for turbomachine manufacturing of the future

16.11.2016 | Event News

Innovation Day Laser Technology – Laser Additive Manufacturing

01.11.2016 | Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

 
Latest News

Robot on demand: Mobile machining of aircraft components with high precision

06.12.2016 | Power and Electrical Engineering

A new dead zone in the Indian Ocean could impact future marine nutrient balance

06.12.2016 | Earth Sciences

Significantly more productivity in USP lasers

06.12.2016 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>