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Related Experiment Videos

Anticipatory guidance in pediatric practice

K S Reisinger, J A Bires

    Pediatrics
    |December 1, 1980
    PubMed
    Summary

    Pediatricians spend an average of 10.3 minutes during well-child visits, with only 8.4% dedicated to anticipatory guidance. This brief time limits opportunities for discussing crucial health issues with families.

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    Area of Science:

    • Pediatric primary care
    • Preventive medicine
    • Health behavior

    Background:

    • Physicians, particularly pediatricians, are uniquely positioned to promote healthy lifestyles.
    • Well-child visits represent a significant portion of pediatricians' in-office time.
    • Effective anticipatory guidance during these visits is crucial for addressing potential health problems.

    Purpose of the Study:

    • To quantify the time pediatricians spend on anticipatory guidance during well-child visits.
    • To determine the proportion of visit time devoted to discussing potential health problems.
    • To identify factors influencing the time allocated to anticipatory guidance.

    Main Methods:

    • Observational study of 23 pediatricians in private practice in Pittsburgh.
    • Data collected over one day per office, observing 305 well-child visits.
    • Time-motion analysis of physician-patient interactions, categorizing discussions.

    Main Results:

    • Average total visit time was 10.3 minutes.
    • Anticipatory guidance accounted for only 8.4% of total visit time.
    • Time for guidance varied by patient age, with minimal time for adolescents and significant time for infants.

    Conclusions:

    • Pediatricians have a substantial opportunity to influence family health behaviors during well-child visits.
    • Current allocation of time to anticipatory guidance is insufficient to address key developmental and safety issues.
    • Reorientation of priorities is needed to maximize the potential of well-child visits for preventive health.

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