Changes in longer consultations for children in general practice

Freed, Gary L.; Spike, Neil; Sewell, Jill; Moran, Lauren; Britt, Helena; Valenti, Lisa; Brooks, Peter

doi:10.1111/jpc.12157

Cited by 22 publications

(23 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Yet the results from our study indicated that some CALD parents experienced that GPs did not ask questions about their child’s development. The difficulties faced by some parents with time constraints of their GPs is valid, as there are recent trends indicating a reduction in longer consultations provided for children at primary care practices in Australia [45]. This is particularly important as the delivery of quality primary care health service to a CALD population needs to incorporate an interpreter resulting in longer consultations [46].…”

Section: Discussionmentioning

confidence: 99%

Explaining culturally and linguistically diverse (CALD) parents’ access of healthcare services for developmental surveillance and anticipatory guidance: qualitative findings from the ‘Watch Me Grow’ study

Garg

Eastwood

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundRegular health visits for parents with young children provide an opportunity for developmental surveillance and anticipatory guidance regarding common childhood problems and help to achieve optimal developmental progress prior to school entry. However, there are few published reports from Australian culturally and linguistically diverse (CALD) communities exploring parents’ experiences for accessing child health surveillance programs. This paper aims to describe and explain parental experiences for accessing developmental surveillance and anticipatory guidance for children.MethodsQualitative data was obtained from 6 focus groups (33 parents) and seven in-depth interviews of CALD parents recruited from an area of relative disadvantage in Sydney. Thematic analysis of data was conducted using an ecological framework.ResultsAn overarching theme of “awareness-beliefs-choices” was found to explain parents’ experiences of accessing primary health care services for children. “Awareness” situated within the meso-and macro-systems explained parents knowledge of where and what primary health services were available to access for their children. Opportunities for families to obtain this information existed at the time of birth in Australian hospitals, but for newly arrived immigrants with young children, community linkages with family and friends, and general practitioner (GPs) were most important. “Beliefs” situated within the microsystems included parents’ understanding of their children’s development, in particular what they considered to be “normal” or “abnormal”. Parental “choices”, situated within meso-systems and chronosystems, related to their choices of service providers, which were based on the proximity, continuity, purpose of visit, language spoken by the provider and past experience of a service.ConclusionsCALD parents have diverse experiences with primary health care providers which are influenced by their awareness of available services in the context of their duration of stay in Australia. The role of the general practitioner, with language concordance, suggests the importance of diversity within the primary care health workforce in this region. There is a need for ongoing cultural competence training of health professionals and provisions need to be made to support frequent use of interpreters at general practices in Australia.

show abstract

Section: Discussionmentioning

confidence: 99%

Explaining culturally and linguistically diverse (CALD) parents’ access of healthcare services for developmental surveillance and anticipatory guidance: qualitative findings from the ‘Watch Me Grow’ study

Garg

Eastwood

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Studies have shown that doctors spend less time today with patients compared to the past. For example, comparing data from 1996 and 2010, the absolute number of longer consultations for children in Australia has decreased [35]. The declining negative evaluation of the personal qualities of doctors may also be a function of changes in attributional power.…”

Section: Discussionmentioning

confidence: 99%

What do people think about their general practitioners? Survey results comparing public opinion over 40 years from a community in Sydney, Australia

Edirippulige¹

2017

Health Prim Car

View full text Add to dashboard Cite

Objective: The aim of the present study was to examine the changes in the Australian public's perceptions about general practitioners over a 46-year period. Methods:A cross sectional survey was conducted to examine the perceptions of people regarding their general practitioners. The study replicated a study conducted in 1966 in Sydney, Australia which provided the baseline. The survey was sent by post to residents living in 42 suburbs in Sydney, Australia. Eight hundred electors were randomly selected from the Australian Electoral Rolls as recipients of survey. Analyses were carried out to compare the results of survey with the survey results of baseline study conducted in 1966.Results: Public perception regarding the doctor's communication skills with patients have improved compared to 1966. However, the perception of doctors' treatment skills and personal qualities and practice was lower than in 1966. Fewer doctors are perceived as having the wide range of desirable human qualities such as bedside manner, an understanding of human nature, truthfulness and honesty compared with opinions in 1966. Many negative comments were based on personal experience regarding difficulty of obtaining medical care on weekends and at night. Conclusions:Public perceptions of doctors have changed over the period 1966 to 2012. These changes may be due to a wide range of socio-economic changes and various shifts taken place in medical profession over 4 decades. The improvement in medical education putting more emphasis on communication may have resulted in doctors better communicating with their patients. Changes such as funding, corporate control of group practices, increasing levels of specialist referrals, high expectation and access to medical information and even the emergence of best practice guidelines may have contributed to a decline in public perceptions of general medical practitioners.

show abstract

“…10 Children with chronic illness are seen even less in the community. 11 The ability to maintain teaching standards outside of specialist paediatricians is increasingly problematic. Conversely, the increasing subspecialisation in children's hospitals can result in limiting exposure to the more common childhood conditions and more difficulty in focussing on the key curricula agenda described.…”

Section: Critical Thinking and Process Skillsmentioning

confidence: 99%

Dedicated paediatric teaching remains critical to the undergraduate medical curriculum

Pinnock

Monagle

Couper

et al. 2014

J Paediatrics Child Health

View full text Add to dashboard Cite

Paediatrics, the branch of medicine responsible for the health and medical care of infants, children and adolescents from birth to young adulthood, is a relatively recent speciality with its origins in the mid-19th century. 1 Unlike many other areas of practice, the population it serves is unable to advocate for itself. This often results in paediatrics being overlooked in planning services and education. One should note that a long protected childhood is unique to our species and essential for human mental and physical health. 2 Dedicated paediatric teaching in the undergraduate/ postgraduate medical curriculum is essential, irrespective of the intended area of practice for the doctors in training. The reasons for this are as follows. Normal and Abnormal Growth and Development and Holistic Care Knowledge of normal growth and development in children including the limits of normal variation is essential in recognis-ing abnormalities in growth and development that require further investigation and management. Because this growth and development occur within a family construct, paediatric medicine is the most obvious example for students when considering the holistic environment in which medical care is trying to be delivered. Paediatrics includes a wide spectrum of diseases and developmental disorders, many of which are unique to childhood. It differs from other specialities in that the manifestations of the same disease will differ at different ages. The clinical skills required to assess a newborn, a 6-month-old infant, a 6-year-old child and a sixteen-year-old adolescent differ considerably. The spectrum of disease has changed from a focus on infections and under-nutrition to include disorders in development, behaviour and over-nutrition. Paediatrics, more than any other speciality, provides students with the opportunity to apply their knowledge of advances in genetics, metabolism, systems biology and immunology. Paediatrics also provides the most training and exposure to disability and its impact on the family. These important lessons are relevant to medicine throughout the patient's life. Preventative care, in the form of vaccination policy and practice, has dramatically modified the health of the world, and infancy and childhood are the ideal window for intervention. However, commencing prevention during childhood is relevant for more than just infectious disease. Many serious physical and mental disorders of adulthood have modifiable precursors in childhood. 3,4 Studies to identify the risk and the protective processes of chronic diseases of adulthood will come from life course epidemiology which examines how biological programming in utero and later lifestyle factors interact to produce the

show abstract

Changes in longer consultations for children in general practice

Abstract: There have been significant changes in the patterns of longer consultations provided to children by GPs. Efforts to ensure that children receive primary care for chronic conditions and preventive care must now take on a greater urgency for the health-care system.

Cited by 22 publications

References 5 publications

Explaining culturally and linguistically diverse (CALD) parents’ access of healthcare services for developmental surveillance and anticipatory guidance: qualitative findings from the ‘Watch Me Grow’ study

Explaining culturally and linguistically diverse (CALD) parents’ access of healthcare services for developmental surveillance and anticipatory guidance: qualitative findings from the ‘Watch Me Grow’ study

What do people think about their general practitioners? Survey results comparing public opinion over 40 years from a community in Sydney, Australia

Dedicated paediatric teaching remains critical to the undergraduate medical curriculum

Contact Info

Product

Resources

About