Parental Perceptions of Well-Child Care Visits in an Inner-city Clinic

Busey, Sharon L.; Schum, Timothy R.; Meurer, John R.

doi:10.1001/archpedi.156.1.62

Cited by 12 publications

(11 citation statements)

References 20 publications

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“…26 It is disappointing to note that low-and middle-income families reported that they were less likely to receive developmental assessments, particularly because previous studies of the Medicaidaffiliated Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT) program suggest that developmental screening of low-income children can result in reductions in the prevalence of problems that require later care. Studies indicated that families are more likely to utilize health services when they reflect the real and perceived needs of families.…”

Section: Discussionmentioning

confidence: 99%

Narrowing the Income Gaps in Preventive Care for Young Children: Families in Healthy Steps

McLearn

Strobino

Minkovitz

et al. 2004

Journal of Urban Health: Bulletin of the New York Academy of Me

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Section: Discussionmentioning

confidence: 99%

Narrowing the Income Gaps in Preventive Care for Young Children: Families in Healthy Steps

McLearn

Strobino

Minkovitz

et al. 2004

Journal of Urban Health: Bulletin of the New York Academy of Me

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“…3,[5][6][7][8][9][10][11] The initial questionnaire was pilot tested on 6 practicing family physicians, revised, and then retested on 20 practicing family physicians. Postage-paid reply envelopes were consecutively numbered to allow clerical staff to track response rates.…”

Section: Methodsmentioning

confidence: 99%

“…9,11 These included response to parents' questions, physician-initiated guidance discussions, provision of age-specific multitopic guidance handouts, provision of topic-specific handouts, videotapes, and group well-child visits. A 9-point Likert scale was used, where 1 ϭ never and 9 ϭ always.…”

Section: Methodsmentioning

confidence: 99%

How Do Family Physicians Provide Anticipatory Guidance during Well-Child Visits?

Young

Boltri²

2005

The Journal of the American Board of Family Medicine

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Introduction: Anticipatory guidance is an important part of well-child care, yet little is known about the way family physicians provide this guidance. This study describes the methods that family physicians use to provide anticipatory guidance during well-child visits.Methods: A questionnaire was mailed to 1000 family physicians. Respondents rated 6 anticipatory guidance methods on frequency of use. The questionnaire addressed method of documentation, use of forms or guidance prompts, visit frequency for total, well-child, and other pediatric visits, and demographic information; t tests and ANOVA were applied (P < .05 significant).Results: There were 495 questionnaires returned for a response rate of 49.5%. Respondents were more likely to provide anticipatory guidance verbally than by handout (Likert scale where 1 ‫؍‬ never and 9 ‫؍‬ always, mean 7.8 vs 4.2, P < .0001). Physicians using well visit forms more commonly initiate guidance discussions (7.6 vs 6.8, P ‫؍‬ .0002), address concerns (8.2 vs 7.5, P ‫؍‬ .0001), and provide handouts (4.3 vs 3.3, P ‫؍‬ .0002). Physicians in academic or multispecialty practices used handouts more often than private practitioners (5.0 vs 3.6, P ‫؍‬ .0003, 5.1 vs 3.6, P ‫؍‬ .0002, respectively) as did those with >7 well-child visits per week compared with <7 visits per week (4.8 vs 3.8, P ‫؍‬ .0028).Conclusions

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“…Além disso, há inúmeras questões que preocupam os pais cujo manejo não foi avaliado, mas que exigem algum tipo de intervenção do médico 20,36,37 . Portanto, o pediatra precisa estar atento às estratégias e avanços que podem melhorar seu desempenho, além da atuação multiprofissional coordenada já discutida.…”

Section: Como?unclassified

“…Há evidências de que as famílias gostariam de obter mais informações sobre a saúde da criança do que os pediatras costumam dar, que preferem receber material escrito e, mais recentemente, pela Internet 37,43,44 . Assim, é importante que o pediatra use todos os recursos audiovisuais complementares ao seu trabalho no consultório.…”

Section: Como?unclassified

A puericultura hoje: um enfoque apoiado em evidências

Blank¹

2003

J. Pediatr. (Rio J.)

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ResumoObjetivo: a promoção da saúde é atividade essencial do pediatra, mas ainda pouco fundamentada em evidências científicas. Este artigo estuda o apoio científico para as principais intervenções preventivas, quando, como e quem deve realizá-las.Fontes dos dados: revisão sistemática da literatura recente, por meio de busca nos bancos de dados Medline e Lilacs, usando as palavras puericultura, supervisão de saúde e promoção de saúde (em inglês e português); revisão não sistemática das referências bibliográficas de capítulos de livros; busca não sistemática na Internet de organizações que emitem recomendações sobre supervisão de saúde; e seleção de artigos clássicos na área.Síntese dos dados: o pediatra deve integrar-se com outros profissionais na prestação de serviços preventivos, bem como estabelecer parcerias efetivas com todos os setores da comunidade. É essencial aprimorar as habilidades em comunicação. O número ideal de consultas de supervisão de saúde nunca foi estabelecido; os procedimentos devem ser adaptados individualmente, segundo fatores de risco contextuais familiares e comunitários. Há documentação científica da efetividade de consulta pré-natal, orientação preventiva, triagem metabólica, imunização, triagem de visão e audição. A monitorização do crescimento e a triagem do desenvolvimento têm que ser racionalizadas. A repetição sistemática do exame físico completo e de exames de laboratório não está justificada.Conclusões: o pediatra tem um papel fundamental na promoção de saúde da criança e do adolescente, mas suas ações na área da puericultura não devem mais ser totalmente empíricas. Há inúmeros recursos, apoiados em evidências científicas, para guiá-lo quanto aos procedimentos mais efetivos.J Pediatr (Rio J) 2003;79(Supl.1):S13-S22: supervisão de saúde, promoção de saúde, puericultura. AbstractObjective: health promotion is one of the chief activities of pediatricians, although still lacking enough scientific bases. This article reviews the scientific support for the main preventive interventions, as well as who should make them, when and how they should be made.Sources of data: systematic review of recent literature, through the search of Medline and Lilacs databases, using the terms wellchild care, health supervision and health promotion (both in English and Portuguese); non-systematic review of reference lists of book chapters; non-systematic Internet search of organizations that make recommendations on health supervision; selection of classic articles within this field.Summary of the findings: pediatricians must seek integration with other professionals in providing preventive services, as well as in establishing effective partnerships with all community sectors. It is essential to improve communication skills. The ideal number of health supervision visits has never been established; interventions must be individually adapted according to family and community contextual risk factors. There is scientific evidence of the effectiveness of prenatal visits, preventive guidance, metabolic screenin...

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Parental Perceptions of Well-Child Care Visits in an Inner-city Clinic

Abstract: Parents of inner-city children consider WCC important. They want to hear about child health-related issues and prefer a written format. This knowledge can guide health care providers and educators during WCC visits and while teaching.

Cited by 12 publications

References 20 publications

Narrowing the Income Gaps in Preventive Care for Young Children: Families in Healthy Steps

Narrowing the Income Gaps in Preventive Care for Young Children: Families in Healthy Steps

How Do Family Physicians Provide Anticipatory Guidance during Well-Child Visits?

A puericultura hoje: um enfoque apoiado em evidências

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