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Pediatric Hospital Medicine and Global Health: A Fitting Niche for an Emerging Subspecialty
Heather Haq1,2, Amy R L Rule3, Alexandra Coria4
1Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Insights
Pediatric hospitalists (PHs) are vital for improving global child health by collaborating with international clinicians. Their expertise benefits both low- and middle-income countries and North American institutions.
Area of Science:
- Global Health
- Pediatric Hospital Medicine
- International Child Health
Background:
- North American hospitals face growing diversity, including immigrants and refugees.
- Pediatric hospitalists (PHs) need global health competencies to address diverse patient needs.
- A growing number of PHs specialize in global health.
Purpose of the Study:
- To outline the essential role of PHs in global child health.
- To align PHs' skills with World Health Organization (WHO) standards for pediatric care in low- and middle-income countries (LMICs).
- To highlight the reciprocal benefits of global health expertise for both LMICs and North American healthcare systems.
Main Methods:
- Review of 2018 WHO standards for quality pediatric and adolescent care.
- Analysis of pediatric hospitalists' (PHs) skill sets and their applicability to global health challenges.
- Examination of the collaborative potential between North American PHs and international child health advocates.
Main Results:
- PHs' skills closely match WHO-identified essential elements for high-quality, sustainable pediatric care in LMICs.
- North American PHs can effectively collaborate with clinicians and advocates in LMICs.
- Global health expertise gained abroad reciprocally enhances care within North American hospitals.
Conclusions:
- Pediatric hospitalists are crucial for advancing global child health equity.
- Integrating global health competencies into pediatric hospital medicine is essential.
- Collaborations enhance pediatric care quality worldwide and strengthen domestic healthcare systems.
Abstract:
As North American hospitals serve increasingly diverse patient populations, including recent immigrants, refugees, and returned travelers, all pediatric hospitalists (PHs) require foundational competency in global health, and a subset of PHs are carving out niches focused in global health. Pediatric hospitalists are uniquely positioned to collaborate with low- and middle-income country clinicians and child health advocates to improve the health of hospitalized children worldwide. Using the 2018 WHO standards for improving the quality of care for children and adolescents worldwide, we describe how PHs' skills align closely with what the WHO and others have identified as essential elements to bring high-quality, sustainable care to children in low- and middle-income countries. Furthermore, North American global health hospitalists bring home expertise that reciprocally benefits their home institutions.
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