Pediatrician counseling about preventive health topics: Results from the physicians' practices survey, 1998-1999
Pediatrician counseling about preventive health topics: Results from the physicians' practices survey, 1998-1999
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DOI：
10.1542/peds.109.5.e83
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发表时间：
2002-05-01
期刊：
影响因子：
8
通讯作者：
Griesemer, BA
中科院分区：
文献类型：
--
作者：
Galuska, DA;Fulton, JE;Griesemer, BA
客观的。政府机构和国家组织建议医生向儿童和青少年患者提供有关预防性健康主题的咨询。我们利用一项全国调查的数据，描述了儿科医生在 9 个推荐的预防性健康主题方面的咨询模式。方法论。 1998年10月至1999年4月期间，从全国代表性样本中随机抽取的1760名初级保健儿科医生中的907名收集了信息。通过电话采访或邮件调查，儿科医生被问及在过去一个月中，他们在患者的护理就诊或例行检查期间就 9 个预防性健康主题提供咨询的频率。儿科医生回答了有关 2 至 5 岁、6 至 12 岁和 13 至 18 岁患者的问题。结果。超过 80% 的儿科医生在患者的护理就诊或例行检查期间就 1 个或多个推荐的预防性健康主题提供咨询。与不就任何主题提供咨询的儿科医生相比，提供咨询的儿科医生明显更可能是女性，并且在就诊期间与患者相处的时间更长。讨论特定预防性健康主题的频率因主题和患者年龄而异。结论。大多数儿科医生都会定期就一些（但不是全部）推荐的预防性健康主题提供建议。需要了解儿科医生为何选择性地就特定主题提供咨询。
Objective. Government agencies and national organizations recommend that physicians counsel their child and adolescent patients about preventive health topics. Using data from a national survey, we describe the counseling patterns of pediatricians in regard to 9 recommended preventive health topics.Methodology. Between October 1998 and April 1999, information was collected from 907 of 1760 primary care pediatricians randomly selected from a nationally representative sample. Through either a telephone interview or a mail survey, pediatricians were asked how frequently in the past month they counseled about 9 preventive health topics during the well-care visits or routine check-ups of their patients. Pediatricians answered questions regarding their patients aged 2 to 5, 6 to 12, and 13 to 18 years.Results. Over 80% of the pediatricians counseled about 1 or more recommended preventive health topics during the well-care visits or routine check-ups of their patients. As compared with pediatricians who did not counsel about any topic, pediatricians who counseled were significantly more likely to be female and spend longer amounts of time with their patients during these visits. The frequency with which specific preventive health topics were discussed varied with the topic and the age of the patient.Conclusion. Most pediatricians routinely counsel about some, but not all, recommended preventive health topics. An understanding of why pediatricians selectively counsel about specific topics is needed.