Add wos sample results library

02-data/intermediate/wos_sample/851fc8a16c1070c98ed6760b12b04d2f-henrickson-michael/info.yaml

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+abstract: 'The United States pediatric population with chronic health conditions is
+
+  expanding. Currently, this demographic comprises 12-18\% of the American
+
+  child and youth population. Affected children often receive fragmented,
+
+  uncoordinated care. Overall, the American health care delivery system
+
+  produces modest outcomes for this population. Poor, uninsured and
+
+  minority children may be at increased risk for inferior coordination of
+
+  services. Further, the United States health care delivery system is
+
+  primarily organized for the diagnosis and treatment of acute conditions.
+
+  For pediatric patients with chronic health conditions, the typical acute
+
+  problem-oriented visit actually serves as a barrier to care. The
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+  biomedical model of patient education prevails, characterized by
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+  unilateral transfer of medical information. However, the evidence basis
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+  for improvement in disease outcomes supports the use of the chronic care
+
+  model, initially proposed by Dr. Edward Wagner. Six inter-related
+
+  elements distinguish the success of the chronic care model, which
+
+  include self-management support and care coordination by a prepared,
+
+  proactive team.
+
+  United States health care lacks a coherent policy direction for the
+
+  management of high cost chronic conditions, including rheumatic
+
+  diseases. A fundamental restructure of United States health care
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+  delivery must urgently occur which places the patient at the center of
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+  care. For the pediatric rheumatology workforce, reimbursement policies
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+  and the actions of health plans and insurers are consistent barriers to
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+  chronic disease improvement. United States reimbursement policy and
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+  overall fragmentation of health care services pose specific challenges
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+  for widespread implementation of the chronic care model. Team-based
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+  multidisciplinary care, care coordination and self-management are
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+  integral to improve outcomes.
+
+  Pediatric rheumatology demand in the United States far exceeds available
+
+  workforce supply. This article reviews the career choice decision-making
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+  process at each medical trainee level to determine best recruitment
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+  strategies. Educational debt is an unexpectedly minor determinant for
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+  pediatric residents and subspecialty fellows. A two-year fellowship
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+  training option may retain the mandatory scholarship component and
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+  attract an increasing number of candidate trainees. Diversity, work-life
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+  balance, scheduling flexibility to accommodate part-time employment, and
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+  reform of conditions for academic promotion all need to be addressed to
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+  ensure future growth of the pediatric rheumatology workforce.'
+affiliation: 'Henrickson, M (Corresponding Author), Cincinnati Childrens Hosp, Med
+  Ctr, Div Rheumatol, MLC 4010,3333 Burnet Ave, Cincinnati, OH 45229 USA.
+
+  Cincinnati Childrens Hosp, Med Ctr, Div Rheumatol, Cincinnati, OH 45229 USA.'
+article-number: '24'
+author: Henrickson, Michael
+author-email: michael.henrickson@cchmc.org
+author_list:
+- family: Henrickson
+  given: Michael
+da: '2023-09-28'
+doi: 10.1186/1546-0096-9-23
+eissn: 1546-0096
+files: []
+journal: PEDIATRIC RHEUMATOLOGY
+keywords: pediatric rheumatology; pediatric subspecialty; policy; workforce
+keywords-plus: 'CONTROLLABLE LIFE-STYLE; CHRONIC ILLNESS CARE; SPECIALTY CHOICE;
+
+  SUBSPECIALTY WORKFORCE; FELLOWS PERSPECTIVES; MEDICAL-STUDENTS; FUTURE
+
+  SCOPE; CHILDREN; MODEL; MANAGEMENT'
+language: English
+month: AUG 16
+number-of-cited-references: '80'
+papis_id: de5e899756fe6a6679cbb00d497656dc
+ref: Henrickson2011policychallenges
+researcherid-numbers: Henrickson, Michael/AAE-8221-2022
+tags:
+- review
+times-cited: '21'
+title: 'Policy challenges for the pediatric rheumatology workforce: Part II. Health
+  care system delivery and workforce supply'
+type: Review
+unique-id: WOS:000294857600001
+usage-count-last-180-days: '1'
+usage-count-since-2013: '8'
+volume: '9'
+web-of-science-categories: Pediatrics; Rheumatology
+year: '2011'