Pediatric Research in Office Settings (PROS): A National Practice-Based Research Network to Improve Children's Health Care

Wasserman, Richard C.; Slora, Eric J.; Bocian, Alison B.; Fleming, Gretchen V.; Baker, Alison; Pedlow, Steven; Kessel, Woodie

doi:10.1542/peds.102.6.1350

Cited by 96 publications

(88 citation statements)

References 18 publications

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“…The CBS included 401 clinicians in 43 states, Puerto Rico, and 4 Canadian provinces. Participants in the CBS are similar to both national samples of private, office-based practices as well as a random sample of primary care pediatricians from the American Academy of Pediatrics (AAP) on characteristics such as age, gender, routine screenings conducted, services provided, and time spent with patients [32][33][34][35][36]. Recruitment of clinicians into the CBS has been described fully elsewhere.…”

Section: Sites and Settingsmentioning

confidence: 99%

Parent–provider communication and parental satisfaction with care of children with psychosocial problems

Hart

Kelleher

Drotar

et al. 2007

Patient Education and Counseling

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Objective: The objective of the present paper was to determine the association between parentprovider communication and parent ratings of satisfaction and quality of care for a group of parents of children identified with a psychosocial problem. Methods:A sample of 804 parents of children with psychosocial concerns enrolled in the Child Behavior Study (CBS) was used for the present analyses. As part of the CBS, parents of children with psychosocial problems answered questions that assessed parent-provider communication and parent ratings of satisfaction and quality of care.Results: Overall, parents reported good communication with their child's provider. Eighty-two percent of parents were very satisfied with the care received and 68% reported a very high quality of care. Parent-provider communication (e.g., collaboration and mutual understanding) was strongly related to parental reports of both satisfaction and quality of care.Conclusions: Parent-provider communication is an important correlate of parental report of satisfaction and quality of care. Involvement of parents in the treatment planning process was particularly important in determining satisfaction and quality ratings within this sample.Practice Implications: When working with families with identified psychosocial concerns, the use of collaboration and an empathic style by providers may enhance the quality of care parents report receiving from their primary care clinicians.

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Section: Sites and Settingsmentioning

confidence: 99%

Parent–provider communication and parental satisfaction with care of children with psychosocial problems

Hart

Kelleher

Drotar

et al. 2007

Patient Education and Counseling

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“…The study was conducted in Pediatric Research in Office Settings (PROS) 13 and the Ambulatory Sentinel Practice Network (ASPN), 14 two large practice-based primary care research networks. PROS, a pediatric network established by the American Academy of Pediatrics (AAP) in 1986, currently comprises Ͼ1400 clinicians from Ͼ475 practices in all 50 states and the Commonwealth of Puerto Rico who provide care for ϳ1.75 million children in the United States.…”

Section: Settingmentioning

confidence: 99%

Identification of Attentional and Hyperactivity Problems in Primary Care: A Report From Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network

et al. 1999

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ABSTRACT. Objectives. To 1) determine the frequency of identification of attentional and hyperactivity problems (AHPs) by clinicians, and 2) examine whether minority children or children from less well-educated, lower-income, or lower-functioning families would be more likely to be identified as having AHPs.Design. Prospective cohort study of 22 059 consecutive children 4 to 15 years of age being seen for acute, chronic, and health supervision visits.Setting. Practices of 401 pediatric and family practice clinicians in 44 states, Puerto Rico, and 4 Canadian provinces. Methods. Parent questionnaires included demographic information and the Pediatric Symptom Checklist. Clinician questionnaires categorized psychosocial problems and addressed how assessment of problems was made. Analyses compared children with newly identified AHPs with those with other newly identified psychosocial problems.Results. Clinicians identified behavior problems in 18.7% of children, with 9.2% of the entire sample identified as having AHPs. Among those with newly assessed AHPs, clinicians identified minority children and those from low-income or poorly functioning families as having AHPs at the same rate as other children. However, even after controlling for symptoms, males were more likely than females (odds ratio, 2.81) to be identified as having AHPs. Older clinicians were significantly more likely to identify children as having AHPs (odds ratio, 2.09). In assessing AHPs, clinicians used standardized tools such as behavioral questionnaires for only 36.9% of children, and Diagnostic and Statistical Manual criteria for 38.3% of children.Conclusions. AHPs are highly prevalent in primary care practice. Clinicians do not appear predisposed to label children from disadvantaged backgrounds as having AHPs. Primary care assessment of AHPs lacks standardization. Pediatrics 1999;103(3). URL: http://www. pediatrics.org/cgi/content/full/103/3/e38; primary care, child mental health, behavior problems, attention deficit hyperactivity disorder, attentional problems, hyperactivity.ABBREVIATIONS. ADHD, attention deficit hyperactivity disorder; AHP(s), attentional and hyperactivity problem(s); PROS, Pediatric Research in Office

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“…4 PRIS was modeled in part after a successful pediatric primary care network. 5 Since hospitalists in institutions across the country were being tasked to improve the care of hospitalized patients, and to lead diverse quality and safety initiatives, why not create a network to facilitate identification of high priority problems and evidence-based approaches to them, and coordinate improvement efforts? The ambitious goal of the fledgling network was to conduct transformative research into inpatient healthcare delivery and discover both condition-dependent and condition-independent processes of care that were linked to patient outcomes.…”

Section: Hospital Medicine Research: Growth and Developmentmentioning

confidence: 99%

Development of the pediatric research in inpatient settings (PRIS) network: Lessons learned

Srivastava

Landrigan

2012

Journal of Hospital Medicine

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Pediatric Research in Office Settings (PROS): A National Practice-Based Research Network to Improve Children's Health Care

Cited by 96 publications

References 18 publications

Parent–provider communication and parental satisfaction with care of children with psychosocial problems

Parent–provider communication and parental satisfaction with care of children with psychosocial problems

Identification of Attentional and Hyperactivity Problems in Primary Care: A Report From Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network

Development of the pediatric research in inpatient settings (PRIS) network: Lessons learned

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