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Health supervision visits of very young children: time addressing 3 key topics

Kristie M Manning1, Adolfo J Ariza, Tara K Massimino

  • 1Department of Pediatrics, Children's Memorial Hospital, Chicago, Illinois 60614, USA.

Clinical Pediatrics
|June 2, 2009
PubMed

Insights

Health supervision visits for infants frequently cover growth, diet, and safety. However, discussions on these key child health topics are very brief, averaging just over a minute.

Area of Science:

  • Pediatrics
  • Public Health
  • Child Development

Background:

  • Health supervision (HS) visits are crucial for monitoring infant well-being.
  • Key discussion areas include growth, nutrition, and safety.
  • Understanding time allocation during these visits is essential for optimizing care.

Purpose of the Study:

  • To quantify the time and specific actions related to growth, diet, and safety during infant health supervision visits.
  • To analyze the frequency and duration of discussions on these critical health topics.

Main Methods:

  • Observational study at 5 pediatric offices.
  • Analysis of 128 health supervision visits for children aged 0-1 years.
  • Utilized specialized software to record time and frequency of measurements, charting, interpretation, and discussions on growth, diet, and safety.

Main Results:

  • Growth measurements (weight, height) were near-universal (>80%).
  • Discussions on growth (88%), diet (97%), and safety (84%) were frequent.
  • Median discussion times were brief: growth (9s), diet (42s), safety (22s), totaling 86 seconds.

Conclusions:

  • Infant health supervision visits frequently address growth, diet, and safety.
  • Despite frequent discussion, the time allocated to these essential topics is notably brief.
Abstract

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