Abstract:
:A retrospective record review was used to examine utilization of a pediatric walk-in clinic available to an entire urban community and to evaluate the effectiveness of follow-up care for a sample of the users of this facility who receive their regular pediatric care at a local comprehensive child health center. Results indicate that this walk-in facility is used extensively for the care of nonemergency conditions. The findings did not, however, support the generally accepted belief that a disproportionate number of Medicaid-supported and minority children overuse emergency type facilities. Utilization did not differ by race or medical care financing. Only 35.6% of the children who were advised to make a follow-up visit to the health center actually did so. White children complied significantly more often than black children (48.0% vs 15.8%). A larger percentage of patients for whom follow-up was optional (48.5%) than for whom follow-up was recommended (35.6%) made a return visit. Noncompliance with recommendations concerning follow-up care of adult users of emergency type facilities is a well recognized problem; the present study demonstrates a similar problem among children.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Weitzman M,Moomaw MS,Messenger KPsubject
Has Abstractpub_date
1980-05-01 00:00:00pages
964-70issue
5eissn
0031-4005issn
1098-4275journal_volume
65pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract::The metabolic adaptation to fasting in infants with hyperinsulinism was examined to see whether a characteristic abnormality could be found that would aid in the diagnosis of this disorder. Seven infants under 1 year of age with hyperinsulinism were studied; 7 control infants of similar age and 12 children with ketoti...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1976-05-01 00:00:00
abstract::This policy statement identifies the potential value of electronic prescribing (e-prescribing) systems in improving quality and reducing harm in pediatric health care. On the basis of limited but positive pediatric data and on the basis of federal statutes that provide incentives for the use of e-prescribing systems, ...
journal_title:Pediatrics
pub_type: 杂志文章,实务指引
doi:10.1542/peds.2013-0192
更新日期:2013-04-01 00:00:00
abstract::The Immunization Practices Advisory Committee ( ACIP ) has devised noninvasive, historical criteria for determining individuals who are susceptible to measles. These criteria, which involve proof of vaccination, are incorporated into school entrance regulations and are used to indicate people who require vaccination d...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1984-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine the timing of brain injury in infants with periventricular leukomalacia (PVL) with serial electroencephalography (EEG) recordings during the neonatal period. PATIENTS AND METHODS:We evaluated 172 preterm infants having a gestational age <33 weeks and weighing <2000 g. I...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.5.1077
更新日期:1999-11-01 00:00:00
abstract:CONTEXT:Developmental outcomes of very preterm (gestational age ≤32 weeks) or very low birth weight (<1500 g) children are commonly reported before age 3 years although the predictive validity for later outcomes are uncertain. OBJECTIVE:To determine the validity of early developmental assessments in predicting school-...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析
doi:10.1542/peds.2016-0251
更新日期:2016-08-01 00:00:00
abstract::The American Academy of Pediatrics and its members are committed to improving the health care system to provide the best and safest health care for infants, children, adolescents, and young adults. In response to a 1999 Institute of Medicine report on building a safer health system, a set of principles was established...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.107.6.1473
更新日期:2001-06-01 00:00:00
abstract::Adolescent and young adult (AYA) patients with cancer may face unique challenges if they and their families wish to participate in clinical oncology trials. Regulatory guidelines and funding requirements put in place to protect patients may actually raise barriers to enrollment in clinical trials. Hospital age guideli...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-0122H
更新日期:2014-06-01 00:00:00
abstract::A workgroup meeting on the use of family history information in pediatric primary care and public health sponsored by the National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention was held February 24 to 25, 2006. The workgroup participants met to discuss how to ...
journal_title:Pediatrics
pub_type:
doi:10.1542/peds.2007-1010H
更新日期:2007-09-01 00:00:00
abstract::In 2010, Care Considerations for Duchenne Muscular Dystrophy, sponsored by the Centers for Disease Control and Prevention, was published in Lancet Neurology, and in 2018, these guidelines were updated. Since the publication of the first set of guidelines, survival of individuals with Duchenne muscular dystrophy has in...
journal_title:Pediatrics
pub_type: 杂志文章,实务指引
doi:10.1542/peds.2018-0333H
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:We sought to determine the prevalence of corneal abrasions and possible associations with fingernail length, demographic information, sleeping, and crying among young infants. METHODS:Parents of 1- to 12-week-old infants without symptoms who were presenting for well-child visits completed a brief questionna...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2023
更新日期:2010-03-01 00:00:00
abstract::Pediatricians are an important source of health care for adolescents and young adults and can play a significant role in addressing their patients' sexual and reproductive health needs, including preventing unintended pregnancies and sexually transmitted infections (STIs), including HIV, and promoting healthy relation...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2017-2858
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Orphan drug development is crucial for children, who are disproportionately affected by rare diseases. Data are lacking on the number, nature, and benefit of recently approved pediatric orphan indications. METHODS:We classified the 402 orphan indications the US Food and Drug Administration approved between ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3128
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Kernicterus is a rare but devastating condition. The prevention of bilirubin-induced brain injury is based on the detection of infants at risk for developing severe hyperbilirubinemia. In an 18-hospital health system, Intermountain Health Care (IHC), we initiated a program of predischarge bilirubin screening ...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2005-1338
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:There has been an increase in the use of imaging modalities to diagnose appendicitis despite evidence that can help identify children at especially high or low risk of appendicitis who may not benefit. We hypothesized that the passive diffusion of a standardized care pathway (including diagnostic imaging rec...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:10.1542/peds.2015-4031
更新日期:2016-09-01 00:00:00
abstract::Delayed initiation of proper therapy for infants with primary infantile glaucoma results in an unnecessarily poor outcome. In an effort to understand why some infants and children had more advanced disease than others, researchers reviewed the records of 24 consecutive infants and children with this problem. The prese...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Although many studies have noted that uninsured children have poorer access and quality of health care than do insured children, few studies have been able to demonstrate the direct benefits of providing health insurance to previously uninsured children. The State Children's Health Insurance Program (SCHIP),...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.113.5.e395
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:Evaluation of the placenta provides some important insights into pathophysiologic changes that take place during the prenatal and intrapartum process. We investigated the relationship between placental findings and periventricular leukomalacia (PVL) to obtain a better understanding of its cause. METHODS:Thir...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.109.4.650
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:To determine neurodevelopmental outcomes at 3 years of age in children born with a birth weight (BW) of ≤500 g. METHODS:Infants who were born with a BW of ≤500 g from 2003 to 2012 in the Neonatal Research Network of Japan and survived to discharge from the NICU were eligible in this study. The study populat...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-4286
更新日期:2018-12-01 00:00:00
abstract::The frequency of otitis media with effusion (serous otitis media, secretory otitis media) detected after conventional antibiotic treatment of acute otitis media is approximately 50%. The relationship between pharmacologic compliance and the frequency of otitis media with effusion was studied. A Micrococcus lutea bioin...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-11-01 00:00:00
abstract::Historically, fruit juice was recommended by pediatricians as a source of vitamin C and as an extra source of water for healthy infants and young children as their diets expanded to include solid foods with higher renal solute load. It was also sometimes recommended for children with constipation. Fruit juice is marke...
journal_title:Pediatrics
pub_type: 指南,杂志文章
doi:10.1542/peds.2017-0967
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Increased morbidity and mortality from lower respiratory tract infection (LRTI) has been suggested in HIV-exposed uninfected (HEU) children; however, the contribution of respiratory viruses is unclear. We studied the epidemiology of LRTI hospitalization in HIV-unexposed uninfected (HUU) and HEU infants aged ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-3272
更新日期:2016-04-01 00:00:00
abstract::Serum creatinine is typically used to evaluate kidney function. Yet, it is a marker that can only provide estimations of kidney function because it can be influenced by other factors, such as dietary intake. The expanding field of infant formula selection in recent history has given many options for parents who are un...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-2828
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:This study examined the factors that affect children's receipt of recommended well-child and dental visits using nationally representative data. METHODS:We analyzed the Child Public Use File of the 1999 National Survey of America's Families, including 35 938 children who were younger than 18 years. Bivariate...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.110.6.e73
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Treatment of primary nocturnal enuresis using 1-deamino-8-D-arginine-vasopressin is based on the hypothesis that antidiuretic hormone (arginine vasopressin [AVP]) secretion is insufficient during the night. Persisting doubts about the theoretical background of this treatment and first results pointing to a d...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.103.2.452
更新日期:1999-02-01 00:00:00
abstract::Osteogenesis imperfecta may be difficult to differentiate from nonaccidental trauma. Social history may prejudice the physician in favor of or against considering the diagnosis of child abuse. Three cases of osteogenesis imperfecta that were initially diagnosed as nonaccidental trauma are presented. The availability o...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::A number of pediatric collaborative improvement networks have demonstrated improved care and outcomes for children. Regionally, Cincinnati Children's Hospital Medical Center Physician Hospital Organization has sustained key asthma processes, substantially increased the percentage of their asthma population receiving "...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-3786F
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To examine the vitamin D status of 4-month-old exclusively breastfed infants supplemented with 400 IU daily of vitamin D and to determine whether there was any seasonal variation in serum 25-hydroxyvitamin D (25(OH)D) levels of infants. METHODS:In this cross-sectional study, serum calcium, phosphorus, alkali...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-0017
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To determine the frequency of selective nontreatment of extremely premature, critically ill, or malformed infants among all infant deaths in a level III intensive care nursery (ICN) and to determine the reasons documented by neonatologists for their decisions to withdraw or withhold life support. METHODS:Thi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.1.64
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:Legal and ethical standards require resuscitation when it is considered to be in the patient's best interest. We hypothesized that newborn infants might be dealt with according to different standards, compared with older patients. METHODS:An anonymous questionnaire describing 8 currently incompetent patients...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-1520
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:To systematically review the evidence to determine whether the routine use of high-frequency oscillatory ventilation (HFOV) as compared with conventional ventilation (CV) is beneficial or harmful in preterm infants requiring mechanical ventilation for pulmonary failure principally due to respiratory distress...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析
doi:10.1542/peds.100.5.e6
更新日期:1997-11-01 00:00:00