Child health and general practitioners’ management, 1987-2001

Author(s):  
Hanneke Otters ◽  
François Schellevis
PEDIATRICS ◽  
1988 ◽  
Vol 81 (3) ◽  
pp. 333-338
Author(s):  
Gerald B. Hickson ◽  
David W. Stewart ◽  
William A. Altemeier ◽  
James M. Perrin

To investigate the process by which families identified and selected their children's current physicians, a close-ended questionnaire was administered to 750 families in a mail panel. Of 630 responses (84.0%), 244 had children in the home; 229 (93.9%) identified a regular and current physician for their youngest child. However, parents did not spend much time or energy selecting a physician and rarely explored medical expertise in their decisions. Families averaged 1.2 sources of information consulted per decision; few considered more than two physician choices and infrequently considered alternative types of doctors (pediatricians v family or general practitioners). selection priorities ranked in order of importance concerned parents' perceptions of their doctors' communication skills, accessibility, and quality as determined by recommendations of friends or physicians. Parents appeared less concerned with issues of cost and convenience. Families selecting pediatricians differed from those selecting family and general practitioners in sources of information used and selection priorities. The survey also identified 84 families who had changed or seriously considered changing the physician who was caring for their youngest child. The most frequent dissatisfaction was the perception that an illness was not being managed adequately, followed by believing that the doctor or staff were rude or unconcerned. Families unhappy with pediatricians expressed different reasons from those unhappy with family or general practitioners. The study results provide insight about the first step in obtaining child health care services, a relatively unexplored area of patient decision making.


BMJ ◽  
1989 ◽  
Vol 299 (6706) ◽  
pp. 1033-1033
Author(s):  
H. Stein ◽  
A. E. Fairey ◽  
J. M. Mulholland ◽  
M. C. Lewis

PEDIATRICS ◽  
1982 ◽  
Vol 70 (5) ◽  
pp. 780-789 ◽  
Author(s):  
Peter P. Budetti ◽  
Phillip R. Kletke ◽  
John P. Connelly

The literature suggests that pediatricians in the United States are concentrated in the more densely populated regions and states, whereas family physicians and general practitioners are more likely to settle in rural areas. The rapidly increasing supply of all child health physicians had led many to hypothesize that the traditional geographic preferences of pediatricians would expand to include smaller communities. Data for 1976 to 1979 confirm the urban concentration of pediatricians and the more even distribution of family physicians and general practitioners. These data also demonstrate a marked imbalance of pediatricians within county groups, resulting in some areas of shortage even within highly metropolitan communities. Evidence of a trend toward increased dispersion of pediatricians into urban shortage areas is presented, but there is no indication that enough pediatricians will settle in rural areas to meet the needs of children in those small communities.


PEDIATRICS ◽  
1950 ◽  
Vol 6 (3) ◽  
pp. 514-518

In the future as at present, the majority of child care can be expected to be furnished by general practitioners, while pediatrics continues to consist of a blend of consultation practice, general practice among infants and children, and teaching not only in medical schools and postgraduate programs, but also for parents and the lay public. The balance between these several factors will depend upon the pediatricians' own interests and the nature of the community in which he practices. But, although pediatricians give a much smaller proportion of medical care to the nation's children than the general practitioners, their influence undoubtedly extends much farther than indicated by statistical percentages. Through their contacts with general practitioners, through their position as teachers and child consultants, pediatricians have opportunities for informed leadership in regard to all matters pertaining to child health and safety. And in respect to his individual patients, both the pediatrician and the general practitioner are in a favorable position to mold life while it is still pliable, to prevent illness or if illness does occur, to restore a young patient to healthy happy childhood.


2007 ◽  
Vol 13 (4) ◽  
pp. 225-230
Author(s):  
Rubin Einhorn ◽  
Just A. H. Eekhof ◽  
Adele C. Engelberts ◽  
Ymte Groeneveld ◽  
Paul H. Verkerk ◽  
...  

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