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Related Experiment Videos

Adolescent medicine in pediatric practice.

A Marks1, M Fisher, S Lasker

  • 1North Shore University Hospital, Manhasset, New York.

Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
|March 1, 1990
PubMed
Summary

Pediatricians often overlook adolescent health needs, with many rarely addressing sexuality, substance abuse, or depression. Limited training and time constraints hinder comprehensive care for teenagers.

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Area of Science:

  • Adolescent Medicine
  • Primary Care Pediatrics
  • Public Health

Background:

  • Adolescents experience significant unmet healthcare needs.
  • Pediatric primary care is crucial for addressing adolescent health.
  • Current practices require assessment to identify gaps in care.

Purpose of the Study:

  • To evaluate current pediatric primary care practices for adolescents.
  • To identify barriers faced by pediatricians in adolescent care.
  • To determine the impact of specialized training on adolescent care delivery.

Main Methods:

  • Anonymous questionnaire survey distributed to general pediatricians.
  • Study conducted in two suburban counties in New York State.
  • Data collected from 101 pediatrician respondents regarding patient demographics and care practices.

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Main Results:

  • Only 1 in 10 pediatricians regularly managed sexuality, substance abuse, or eating disorder concerns.
  • Fewer than 50% provided anticipatory guidance on sexuality; only 14% screened for depression.
  • Pediatricians cited time, fees, knowledge gaps, and professional image as care barriers.

Conclusions:

  • Most surveyed pediatricians provide limited care for adolescents' specific health needs.
  • Specialized adolescent medicine training correlates with improved care and guidance.
  • A significant portion of pediatricians expressed interest in expanding adolescent care services.