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Published on: February 5, 2014
An analysis of childhood consultations in general practice: a multi-practice study
Jane O'Doherty1, Ailish Hannigan2, Louise Hickey3
1University of Limerick Graduate Entry Medical School, Castletroy, Limerick, Ireland. Jane.ODoherty@ul.ie.
This study analyzed general practitioner (GP) consultations for children, finding respiratory and skin issues most common. GPs most frequently prescribed medication or provided reassurance during these pediatric visits.
Area of Science:
- Pediatrics
- General Practice
- Healthcare Management
Background:
- General Practitioners (GPs) manage most childhood illnesses.
- Up-to-date data on pediatric consultations is crucial for healthcare planning and resource allocation.
Purpose of the Study:
- To investigate common presenting symptoms in children during general practice consultations.
- To identify typical diagnoses made by GPs for pediatric patients.
- To document the actions taken by GPs in consultations with children.
Main Methods:
- Data collected from 64 general practices using practice management software.
- 100 randomly selected patients aged 12 months to 14 years per practice.
- Symptoms, diagnoses, and actions analyzed and summarized by age group (1-4, 5-10, 11-14 years).
Main Results:
- 5,959 patients' data analyzed; 3,241 (54%) had a GP consultation.
- Most common symptoms: respiratory (28-39%) and skin complaints (13-21%).
- Most common actions: prescribing (55-58%) and reassurance (48-53%); referral rates increased with age.
Conclusions:
- Provides a comprehensive overview of pediatric presentations, diagnoses, and GP actions in general practice.
- Findings can aid GPs in organizing practice systems.
- Informs healthcare service planners for better resource allocation and pediatric care.
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