PMID: 9529458Apr 8, 1998Paper

Changes in the daily practice of primary care for children

Archives of Pediatrics & Adolescent Medicine
T G FerrisD Blumenthal

Abstract

The environment in which medicine is practiced has changed in the past 2 decades, but little information has been available on how the day-to-day practice of primary care for children has changed during this period. To identify aspects of primary care practices for children that are undergoing substantial changes. Analysis of National Ambulatory Medical Care Surveys from 1979 to 1981, 1985, and 1989 to 1994. Primary care practitioners recorded data on 58,488 child visits. MAIN OUT COME MEASURES: Characteristics and insurance status of children, physician activities during visits, and disposition after visit. Child visits to primary care physicians increased by 22% between 1979 and 1994. The mean age of children visiting primary care physicians decreased from 6.7 years in 1979 to 5.7 years in 1994 (P for trend, < .001). The ethnic diversity of child visits increased primarily as a result of an increasing proportion of visits by Hispanic (6.0% in 1979 to 12.6% in 1994, P for trend, < .001) and Asian patients (1.6% in 1979 to 4.1% in 1994, P for trend, < .001). Medicaid and managed care increased dramatically as sources of payment. Changes in physician activities included an increase in some preventive services, changes in the mos...Continue Reading

Citations

Jul 13, 2011·Annals of Family Medicine·Kurt C Stange
Jan 24, 2003·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Barbara T Felt, Mary E O'Connor
May 30, 2009·Child Abuse & Neglect·Susan FeigelmanJeongeun Kim
Nov 2, 2007·The Journal of Pediatrics·Edward L Schor
Nov 2, 2007·The Journal of Pediatrics·Paul H Wise
Jan 25, 2003·The American Journal of Medicine·Karen M FreundJohn B McKinlay
Mar 15, 2006·Annual Review of Public Health·Paul J ChungMark A Schuster
Mar 17, 2004·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Lisa SimpsonMarie McCormick
Jun 8, 2007·Clinical Pediatrics·Ihuoma U EneliDavid Todem
Mar 12, 2002·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·J A VesseyS B Wilson
Feb 15, 2001·The New England Journal of Medicine·E W Campion
Dec 30, 2014·British Journal of Nursing : BJN·Aikaterini Toska, Mary Geitona
Mar 15, 2002·Journal of the American Academy of Nurse Practitioners·Merle R Kataoka-Yahiro, Frances Munet-Vilaro
Mar 13, 2002·Journal of Developmental and Behavioral Pediatrics : JDBP·Marsha D RappleyJoseph C Gardiner
Apr 21, 2005·The European Journal of General Practice·Hanneke B M OttersBart W Koes
Feb 29, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Ariana Saatchi, Fawziah Marra
Dec 3, 2004·Pediatrics·Virginia A Moyer, Margaret Butler
Nov 9, 2011·Pediatrics·Adam L HershSamir S Shah
Dec 10, 1999·Pediatrics·L AsmussenK B Weiss
Jun 3, 2004·Pediatrics·Tina L Cheng

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