Abstract:
:This study investigated pediatrician-parent communication by content, analyzing medical encounters in a setting providing continuity of care. Thirty-eight encounters between middle class families and three senior pediatricians were audio-taped, transcribed, and analyzed for content. The categories of medical communication coded from the interactions were related to each family's medical and demographic characteristics. Five patterns of results emerged: (1) There was a highly stylizied active-passive role relationship, with doctors asking twice as many questions and making twice as many commands as the parent did. (2) A strong reciprocity norm existed between pediatricians and parents for the communication of affect. (3) The higher the experience, income, and educational levels of the parents, the shorter the encounters were, the less frequently symptoms were discussed, and the more frequently medication and professional treatment were mentioned. (4) Parents discussed health more in terms of organicity of causes than did pediatricians who, more frequently, raised environmental factors. (5) The more the family had a history of past illnesses, the more frequently the doctors made affect comments during the encounters. Comparing the results to findings drawn from an emergency clinic documented the importance of sustained relationships between practitioners and patients.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Arntson PH,Philipsborn HFdoi
10.1177/000992288202100507subject
Has Abstractpub_date
1982-05-01 00:00:00pages
302-7issue
5eissn
0009-9228issn
1938-2707journal_volume
21pub_type
杂志文章abstract::Research suggests that youth in urban communities often remain in the same sexual relationships after a pelvic inflammatory disease (PID) diagnosis. Utilizing data from the Technology Enhanced Community Health Nursing (TECH-N) study, we explored partner notification, treatment, and condom use after PID diagnosis. Outr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922819852979
更新日期:2019-10-01 00:00:00
abstract::This article, Part 2 of a five-part series on The Web, Communications Trends, and Children's Health, describes how the Web's "virtual library" lets pediatricians tap into an evergrowing body of resources, including the latest medical information and online Continuing Medical Education. In addition, the Web creates new...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289803700401
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVE:To describe the time and actions on 3 key health topics during health supervision (HS) visits of children aged 0 to 1 years. METHOD:HS visits were observed at 5 offices. Parents provided demographics and children's measurements were obtained. Using special computer software, visits were observed for frequenc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922809337530
更新日期:2009-11-01 00:00:00
abstract:AIMS:The aims of this study were to detect the infection rates of DNA viruses in liver tissue of biliary atresia and to investigate the effect of perinatal infection of cytomegalovirus in biliary atresia. METHODS:A total of 85 liver biopsies (taken during Kasai portoenterostomy) were tested by fluorescence quantitativ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811406264
更新日期:2012-02-01 00:00:00
abstract::This study examines primary care provider (PCP) experiences with the initial parental disclosure of cystic fibrosis (CF) newborn screening (NBS) results in order to identify methods to improve parent-provider communication during the CF NBS process. PCPs of infants who received positive CF NBS results participated in ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814545619
更新日期:2015-01-01 00:00:00
abstract::The successful eradication of poliomyelitis in the United States has primarily been due to the use of oral poliovirus vaccine (OPV). However, because of the risk of vaccine-associated paralytic poliomyelitis with OPV, the use of inactivated poliovirus vaccine (IPV) has become the accepted option. We performed a cross-...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280104000802
更新日期:2001-08-01 00:00:00
abstract::The American Academy of Pediatrics California Chapter 3 created a 20-minute training video targeting barriers to strong provider recommendation of the human papillomavirus (HPV) vaccine. The video included clinical vignettes featuring pediatricians modeling counseling techniques with vaccine-hesitant families. Ninety-...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818805217
更新日期:2019-01-01 00:00:00
abstract::Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access. Claims data were used to compare the cost and utilization of health care before and...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800305
更新日期:1999-03-01 00:00:00
abstract::Background. Testicular torsion is a common surgical emergency in children that requires a high index of suspicion, early diagnosis, and exploration. Most children present early to their primary pediatricians or physicians. The aim of this retrospective study is to determine the surgical outcome of testicular torsion w...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820903037
更新日期:2020-05-01 00:00:00
abstract::The "upside-down stomach" is a rare form of organo-axial neonatal volvulus, which occurs because of absent or attenuated anatomical anchors and abnormal motility of the stomach. It is considered a surgical emergency that requires immediate correction. We report a previously undescribed etiology of gastric neonatal vol...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700612
更新日期:1988-06-01 00:00:00
abstract::The purpose of this study was to analyze the effects of breast-feeding on cognitive and motor development. A prospective cohort study was carried out enrolling 249 babies from 2 rural and urban areas. Cognitive development was assessed at the age of 18 months. Results show that adjusted scores on the mental developmen...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280304200106
更新日期:2003-01-01 00:00:00
abstract::Although still considered to be a rare and mostly fatal illness, the reported incidence of neonatal bacterial endocarditis has increased during the past decade. This parallels the establishment of intensive supportive management of severely ill newborns with multiple medical problems. An extremely difficult diagnostic...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900707
更新日期:1990-07-01 00:00:00
abstract::Young children receive a variety of diagnostic radiographs over time. In some cases the exposure to radiation may be unwarranted because the films may yield confusing results, or may also need to be repeated because of poor technical quality. Even when the results are clearly negative, the subsequent treatment may pro...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600606
更新日期:1987-06-01 00:00:00
abstract:OBJECTIVES:Our objective was to examine the relationship between low- and high-level depressive symptoms in mothers' and children's risks in the areas of home and car safety, monitoring, and exposure to violence. METHODS:Participants included 978 mothers of preschool-age children who were interviewed about their home ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812473776
更新日期:2013-02-01 00:00:00
abstract::Four patients with the slipping rib syndrome presenting as chest pain are described, and the appropriate literature is reviewed. In two of the patients the physicians caring for the children were initially concerned that a cardiac condition was the cause of the chest pain, and a cardiac evaluation was done. In one pat...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289603500804
更新日期:1996-08-01 00:00:00
abstract::The case of a six-year-old boy with newly diagnosed tracheoesophageal fistula of the H-type is presented. This diagnosis is usually made in the neonatal period, but since the symptoms may mimic other respiratory illnesses and radiologic diagnosis may be difficult, the condition may go undiagnosed for years. Since corr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900210
更新日期:1990-02-01 00:00:00
abstract::This report describes the results of bone marrow leukocyte immunophenotypic studies, DNA index measurement, and chromosome analysis in a newborn with Down syndrome and transient myeloproliferative disorder. The infant's initial leukocytosis with immature cells in the peripheral blood and thrombocytopenia resolved with...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902800306
更新日期:1989-03-01 00:00:00
abstract::Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of mobile complex care plans (MCCPs) for CMC enrolled in a complex ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818805241
更新日期:2019-01-01 00:00:00
abstract::An age-appropriate questionnaire (GASP-Q) was used to assess the frequency and severity of the gastroesophageal reflux disease (GERD) symptoms: abdominal/belly pain, chest pain/heartburn, pain after eating, nausea, burping/belching, vomiting/regurgitation, choking when eating, and difficulty swallowing, in adolescents...
journal_title:Clinical pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0009922806292792
更新日期:2006-10-01 00:00:00
abstract::Eighty-five infants and children presenting with acute otitis media who had normal tympanic membrane landmarks and mobility within 1 month before entry into the study were studied. These criteria were used in order to avoid including children with prior otitis media with effusion (secretory otitis media). A diagnosis ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000901
更新日期:1981-09-01 00:00:00
abstract::The Parent Attitudes about Childhood Vaccines (PACV) survey for identifying vaccine-hesitant parents was recently validated in Washington State but did not include all recommended childhood vaccines. The current study compares vaccination rates for all recommended childhood vaccines and PACV scores at one pediatric pr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815615823
更新日期:2016-06-01 00:00:00
abstract::Follow-up survival and health information were obtained, after a median of 27.5 years, from 132 patients who had been seen originally as children with nephrotic syndrome between 1951 and 1967. Ninety seven patients were alive. Recurring edema or proteinuria, or both, persisted in 15 percent of those still alive. Eight...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700201
更新日期:1988-02-01 00:00:00
abstract::The authors compared axillary skin temperatures (AT) measured with an infrared (IR) thermometer (Lightouch Neonate, Exergen Corp) with rectal temperatures (RT) in 16 newly born term infants under radiant warmers (RW) and in cribs. Twelve stable, growing premature infants in incubators were also studied. This new devic...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289903800105
更新日期:1999-01-01 00:00:00
abstract::Family health history (FHH) can identify families at increased risk for disease. Purpose. To learn mothers' (1) perceptions of the benefits of FHH and (2) willingness to complete a FHH tool, My Family Health Portrait (MFHP). Methods. Qualitative in-depth interviews were conducted with mothers recruited through Cincinn...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812467531
更新日期:2013-01-01 00:00:00
abstract::We examined whether gastrointestinal (GI) symptoms were associated with sleep disturbances in a community-based sample of 337 school-aged children from Ypsilanti, Michigan. Parents completed the sleep-related breathing disorder scale of the Pediatric Sleep Questionnaire and the Conners' parents rating scale, which inc...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818787858
更新日期:2018-11-01 00:00:00
abstract::The purpose of the study was to determine the effect of ethyl vinyl chloride vapocoolant spray on pain reported by children undergoing intravenous cannulation. A randomized, double-blinded, placebo-controlled trial was conducted on eligible children between the ages of 9 and 18 years seen in a pediatric emergency depa...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922806291013
更新日期:2006-09-01 00:00:00
abstract::Four neonates with adrenal hemorrhage are presented. The clinical manifestations included most often an abdominal mass but also anemia, jaundice, hypotension, bluish discoloration of the scrotum, and abdominal calcification. The diagnosis was established in each case upon abdominal sonographic findings. The review of ...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280104001002
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:The rate at which pediatricians promote smoking cessation in clinical settings is low. The literature demonstrates that interventions paired with tangible health promotion materials may significantly increase screening rates to the pediatric office. The aim of this study was to investigate whether the additi...
journal_title:Clinical pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1177/0009922816684607
更新日期:2017-10-01 00:00:00
abstract::During the years 1976 through 1980, 118 children with osteomyelitis were seen at our hospital, an incidence of almost 24 cases per year. Twenty-eight of these had sickle cell disease. Males were more commonly affected than females, with a ratio of 2.1 to 1, and bones of the lower extremities were more commonly involve...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402301003
更新日期:1984-10-01 00:00:00
abstract::Lactobezoar is a compact mass of undigested milk concretions located within the gastrointestinal tract. Most often found in infants, they can precipitate gastric outlet obstruction, mimicking a variety of medical and surgical conditions. A common etiology and method of cure have yet to be elucidated. A review of the l...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280104001104
更新日期:2001-11-01 00:00:00