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Related Experiment Videos

Community paediatrics moves on-an analysis of changing work patterns 1994-97.

Blair1, Pullan, Rands

  • 1School of Human Development, Division of Child Health, Queen's Medical Centre, Nottingham NG7 2UH, UK.

Public Health
|May 9, 2000
PubMed
Summary

Community paediatricians are seeing more children with developmental issues and disability. Their role is becoming more specialized, focusing on growth, development, and behavioral pediatrics.

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Area of Science:

  • Public Health
  • Pediatrics

Background:

  • The role of community paediatricians has evolved.
  • Changes in clinical workload and reasons for these changes require examination.

Purpose of the Study:

  • To describe the clinical workload of modern community paediatricians.
  • To outline changes in the role of community paediatricians and identify reasons for these changes.

Main Methods:

  • Retrospective analysis of routinely collected data for contracting purposes.
  • Study period: 1994-1997.
  • Setting: Nottingham community paediatric service.

Main Results:

  • 36,710 appointments offered; 17% non-attendance rate.
  • Pre-school children formed the largest patient group.

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  • Referrals primarily from health visitors (23%) and school nurses (29%).
  • Significant increase in children seen for developmental problems, disability, and child protection issues.
  • Shift towards health centre clinics (9.8% increase) from school settings.
  • Inner-city areas referred twice as many children as surrounding county areas.

    • Conclusions:

    • Transfer of child health surveillance to primary care and increased training have led to specialization.
    • Community paediatricians are increasingly specializing in child growth, development, disability, and behavioral pediatrics.