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Related Experiment Videos

Referral patterns for children with chronic diseases.

I R Blancquaert1, I Zvagulis, K Gray-Donald

  • 1Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada.

Pediatrics
|July 1, 1992
PubMed
Summary

Primary care physicians

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Area of Science:

  • Pediatrics
  • General Practice
  • Healthcare Management

Background:

  • Long-term care for children with chronic disorders requires coordinated physician involvement.
  • Understanding primary care physicians' roles is crucial for optimizing pediatric chronic care.
  • Referral patterns and management strategies vary significantly among physicians.

Purpose of the Study:

  • To investigate the extent of primary care physicians' involvement in the long-term care of children with chronic disorders.
  • To analyze referral patterns for common pediatric chronic conditions.
  • To identify factors influencing physician involvement in chronic pediatric care.

Main Methods:

  • A mailed questionnaire survey was administered to 1377 physicians (pediatricians and general practitioners) in Quebec.
  • Response rate was 81%.
  • Referral patterns for asthma, congenital heart disease, and diabetes were analyzed.

Main Results:

  • Physician involvement in long-term care varied by clinical condition and physician type.
  • Asthma management often involved no routine referral, while congenital heart disease and diabetes saw higher referral rates.
  • Rural physicians managed more patients compared to urban physicians.
  • Referral decisions were influenced by clinical condition, physician type, and resource availability.

Conclusions:

  • Physician involvement in managing pediatric chronic conditions is influenced by condition complexity and resource accessibility.
  • Primary care physicians play a significant role, with management strategies tailored to specific diseases.
  • Healthcare systems should consider resource distribution and tertiary care access to support long-term pediatric chronic care.

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