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Related Experiment Videos

Physicians' attitudes toward pain in children.

N L Schechter, D Allen

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |December 1, 1986
    PubMed
    Summary

    Physician attitudes toward pediatric pain, including concerns about narcotic addiction, influence pain management. Pediatricians are more likely to treat children

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    Area of Science:

    • Pediatric Medicine
    • Pain Management
    • Medical Education

    Background:

    • Adults receive more analgesics than children in hospitals.
    • Physician attitudes toward pediatric pain are not well understood.
    • Understanding these attitudes may explain prescribing disparities.

    Purpose of the Study:

    • To assess physicians' attitudes toward pain in children.
    • To identify factors influencing analgesic prescribing for pediatric patients.
    • To explain why children receive less pain medication than adults.

    Main Methods:

    • Survey of pediatricians, family practitioners, and surgeons in Hartford.
    • Assessed physician attitudes regarding pediatric pain perception and analgesic use.
    • Analyzed demographic and practice variables' impact on attitudes.

    Main Results:

    • 75% of physicians believed children experience adult-like pain by age 2.
    • 38% expressed concern about narcotic addiction in young patients.
    • Pediatricians were more likely than surgeons/family practitioners to perceive adult-like pain in younger children and prescribe analgesics earlier.
    • Specialty significantly influenced attitudes, while demographics had minimal impact.

    Conclusions:

    • Physician attitudes, particularly specialty-related differences and addiction concerns, contribute to disparities in pediatric pain management.
    • Pediatricians show more favorable attitudes towards earlier and more liberal analgesic use in children.
    • Further research into physician education on pediatric pain is warranted to improve treatment outcomes.

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