The practice of adolescent medicine in staff model HMOs

Adolescent medicine is a medical specialty that may be represented in a prepaid group practice, but has generally not been perceived as necessary. A survey of The HMO Group shows considerable variation in staffing and the centralization of adolescent health care. An adolescent medicine practice may be rapidly created and promoted through notification of patients and professionals. Adolescent medicine providers can attend to age-appropriate educational and office setting needs of their patients, and study quality assurance of adolescent care by others. The HMO may benefit from improved age-specific care and increased physician and patient satisfaction. Problems with coverage and staffing may occur. HMOs should consider using one adolescent medicine specialist for each five to six pediatricians.