Nelson Textbook of Pediatrics

Ethics in Pediatric Care

Pediatric ethics is the branch of bioethics that analyzes moral aspects of decisions made relating to the healthcare of children. In general terms, the autonomy -driven framework of adult medical ethics is replaced by a beneficent paternalism (or parentalism) in…

Safety in Healthcare for Children

Children may be harmed by the healthcare that aims to make them better. Such harms include central line–associated bloodstream infections (CLA-BSIs) and medication overdoses. In 1991 the Harvard Medical Practice Study reviewed a large sample of adult medical records from…

Quality and Value in Healthcare for Children

The Need for Improvement in Quality and Value Adults and children only receive recommended evidence-based care about half the time. The gap between knowledge and practice widens to a chasm in part because of variations in practice and disparities in…

Global Child Health

Global Burden and Trends in Child Health The under-five mortality rate (U5MR) , also known as the child mortality rate , serves as a reliable gauge of child well-being. It measures the outcome of a country's health system and reflects…

Child Health Disparities

Health and illness are not distributed equally among all members in most societies. Differences exist in risk factors, prevalence and incidence, manifestations, severity, and outcome of health conditions, as well as in the availability and quality of healthcare. When these…

Overview of Pediatrics

Pediatrics is the only discipline dedicated to all aspects of the care and well-being of infants, children, and adolescents, including their health—their physical, mental, social, and psychological growth and development—and their ability to achieve full potential as adults. Pediatricians must…