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The age of paediatrics.
Susan M Sawyer1, Robyn McNeil2, Kate L Francis2
1Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, Australia; Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia; Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Paediatricians globally vary on the upper age limit for child care, with a preference for extending it to 18.7 years to better manage adolescent health needs.
Area of Science:
- Global health
- Paediatric medicine
- Adolescent health
Background:
- The epidemiological transition shows a rising disease burden across the lifespan.
- Extending paediatric practice to include adolescent health is a potential response.
Purpose of the Study:
- To explore the current upper age limit of paediatric care globally.
- To identify factors influencing this age limit and perceived needs for adolescent health within paediatrics.
Main Methods:
- An online survey was conducted.
- 1372 paediatricians from 115 countries participated.
Main Results:
- Significant variation exists in the upper age limit of paediatric care.
- Higher upper age limits correlate with greater adolescent disease burden in high-income countries.
- The preferred mean age (18.7 years) exceeds the current mean age (17.4 years).
- Increased awareness of adolescent health and professional association leadership drive the rising age limit.
Conclusions:
- Paediatric practice needs to adapt to the changing disease burden.
- Current adolescent health education in paediatric training is often inadequate.
- A greater focus on adolescent health is crucial for the future paediatric workforce.
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