Identification, Prevention, and Management of Childhood Overweight and Obesity in a Pediatric Primary Care Center

Telemedicine, more novel in provision of pediatric care, rapidly expanded due to the recent coronavirus disease 2019 pandemic. This study aimed to determine the feasibility of telemedicine for acute and chronic care provision in an underserved pediatric primary care center. Items assessed included patient demographic data, chief complaint, and alternative care locations if telemedicine was not available. In our setting, 62% of telemedicine visits were for acute concerns and 38% for chronic concerns. Of acute telemedicine visits, 16.5% of families would have sought care in the Emergency Department/Urgent Care, and 11.3% would have opted for no care had telemedicine not been offered. The most common chronic issues addressed were attention deficit hyperactivity disorder (80.3%) and asthma (16.9%). Racial disparities existed among our telemedicine visits with Black patients utilizing telemedicine services less frequently than non-Black patients. Telemedicine is feasible for pediatric acute and chronic care, but systems must be designed to mitigate widening racial disparities.

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The Impact of the Electronic Health Record on an Academic Pediatric Primary Care Center

Journal of Ambulatory Care Management ◽

10.1097/jac.0b013e3181ac9667 ◽

2009 ◽

Vol 32 (3) ◽

pp. 180-187 ◽

Cited By ~ 28

Author(s):

Zeina M. Samaan ◽

Melissa D. Klein ◽

Mona E. Mansour ◽

Thomas G. DeWitt

Keyword(s):

Primary Care ◽

Electronic Health Record ◽

Care Center ◽

Pediatric Primary Care ◽

Health Record ◽

Primary Care Center ◽

Electronic Health ◽

The Impact

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Improving Human Papilloma Virus Vaccination Rates at an Urban Pediatric Primary Care Center

Pediatric Quality and Safety ◽

10.1097/pq9.0000000000000098 ◽

2018 ◽

Vol 3 (5) ◽

pp. e098 ◽

Cited By ~ 1

Author(s):

Nicola Brodie ◽

Katie E. McPeak

Keyword(s):

Primary Care ◽

Human Papilloma Virus ◽

Care Center ◽

Pediatric Primary Care ◽

Primary Care Center ◽

Papilloma Virus ◽

Vaccination Rates ◽

Virus Vaccination ◽

Human Papilloma Virus Vaccination

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A Mixed-Methods Evaluation of a Novel Food Pantry in a Pediatric Primary Care Center

Clinical Pediatrics ◽

10.1177/0009922819900960 ◽

2020 ◽

Vol 59 (3) ◽

pp. 278-284

Author(s):

Erin Hickey ◽

Michelle Phan ◽

Andrew F. Beck ◽

Mary Carol Burkhardt ◽

Melissa D. Klein

Keyword(s):

Primary Care ◽

Food Insecurity ◽

Care Delivery ◽

Care Center ◽

Office Visit ◽

Pediatric Primary Care ◽

Primary Care Center ◽

Food Pantry ◽

Number Of Children ◽

The Impact

Evidence suggests that management of food insecurity in primary care may enhance preventive care delivery. This study assessed the impact of a food pantry in a pediatric primary care center over 22 months. Quantitative outcome assessments (number of children affected, number of referrals, and completion of preventative services) compared the child receiving food from the pantry to age-matched controls. Commonalities from interviews with pantry-using families were identified using thematic analysis. A total of 504 index patients received food from the pantry during an office visit. There were 546 in-clinic and community referrals. There was no significant relationship between accessing the pantry and preventative service completion by 27 months of age. Themes that emerged during interviews included the need for an emergency food source, facilitation of referrals, and increased trust in the clinic. An in-clinic food pantry is a feasible and family-welcomed approach to address food insecurity in pediatric primary care.

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