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Related Experiment Videos

Primary pediatric care in one community.

T K McInerny, K J Roghmann, S A Sutherland

    Pediatrics
    |March 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Pediatricians are increasingly providing primary care for children, with their role expanding significantly between 1967 and 1975. This trend suggests a growing need for pediatricians to meet future child healthcare demands.

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    Area of Science:

    • Pediatrics
    • Primary Care
    • Health Services Research

    Background:

    • The landscape of primary pediatric care has evolved over time.
    • Understanding the changing role of pediatricians in child healthcare is crucial.

    Purpose of the Study:

    • To analyze trends in primary pediatric practice from 1967 to 1975.
    • To assess the proportion of ambulatory care provided by pediatricians.
    • To identify common reasons for pediatric visits.

    Main Methods:

    • Household interview survey.
    • Pediatrician mail questionnaire.
    • Ambulatory care survey of nine practices over a four-week period.

    Main Results:

    • Pediatricians' share of ambulatory care for children increased from 47% in 1967 to 74% in 1975.

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  • Well-child care (30%) was the leading reason for visits, followed by upper respiratory infections (24%).
  • Variations in care were observed based on practice and patient characteristics.

    • Conclusions:

    • Pediatricians are becoming the dominant providers of primary care for children.
    • A projected increase in demand necessitates a larger pediatrician workforce.
    • Strategies like multi-setting practice and delegation to nurse practitioners aid in meeting demand.