Overview of the Content of Health Supervision for Young Children: Reports From Parents and Pediatricians

PEDIATRICS ◽  
2004 ◽  
Vol 113 (Supplement_5) ◽  
pp. 1907-1916 ◽  
Author(s):  
Lynn M. Olson ◽  
Moira Inkelas ◽  
Neal Halfon ◽  
Mark A. Schuster ◽  
Karen G. O’Connor ◽  
...  
Keyword(s):  
Child Care ◽  
National Survey ◽  
Maternal Education ◽  
Unmet Need ◽  
Family Characteristics ◽  
Toilet Training ◽  
Pediatric Care ◽  
Early Childhood Health ◽  
Health Supervision ◽  
System Factors

Objective. To describe the content of anticipatory guidance provided to parents of infants and toddlers and to identify primary areas of unmet need as reported by both parents and pediatricians. Methods. Parent data were obtained from the National Survey of Early Childhood Health, a nationally representative sample of parents of 2068 US children aged 4 to 35 months. Pediatrician data were obtained from the Periodic Survey of Fellows, a national survey of members of the American Academy of Pediatrics. Results. Parents and pediatricians tend to agree on the relative ranking of which topics are most frequently addressed. Parents and pediatricians both report that the traditional topics of preventive care—immunizations, feeding issues, and sleep patterns—are most frequently discussed, whereas topics that were more recently introduced into pediatric care related to developmental needs and family context are less commonly addressed. Parent-reported discussion of these topics include reading (discussed for 61% of children 19-35 months) and child care (discussed for 26% of children 19-35 months). Parent reports of some unmet need—defined as topics not discussed that the parent believes would have been helpful to them—affect 36% of children aged 4 to 9 months and 56% of children aged 10 to 35 months and are highest for the topics of discipline strategies and toilet training. Other specific areas of unmet need reported by at least 15% of parents are burn prevention, child care, reading, vocabulary development, and social development. Rates of unmet need vary with family characteristics and health system factors, including maternal education, race/ethnicity, and length of well-child visits. Conclusion. Parents and pediatricians report high rates of discussion on many topics that are critical to healthy development in the first years of life. They also identify areas of need that largely address health supervision on developmental topics. Findings indicate that additional research is needed to understand issues related to specific topic areas as well as the dynamics of personal and system factors that determine what is discussed.

MOTHERS' OPINIONS OF THEIR PEDIATRIC CARE

PEDIATRICS ◽  
1965 ◽  
Vol 35 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Robert W. Deisher ◽  
William L. Engel ◽  
Robert Spielholz ◽  
Susan J. Standfast
Keyword(s):  
Child Care ◽  
Point Of View ◽  
Toilet Training ◽  
Pediatric Care ◽  
Well Child Care ◽  
Health Supervision ◽  
Degree Of Satisfaction ◽  
Physical Examinations ◽  
High Degree ◽  
Care Behavior

An opinion survey of mothers who take their children to pediatricians in Seattle, Washington, was carried out during the summer of 1963 in order to gain information on the mothers' concept of the pediatrician's role and how satisfied they were with the care their children were receiving. Some comparisons were made with the results of others studies where pediatricians and general practitioners were surveyed. It was found that in general Seattle mothers were very satisfied with their pediatricians and the care which their children were receiving from them. The important factors contributing to this high degree of satisfaction were discussed, as well as the areas of least satisfaction. Aspects of the doctor-patient relationship and the art and science of medicine were found to be more important in selection and satisfaction with a doctor than ancillary factors such as fees, willingness to make house calls, and time spent waiting in the office. These latter were the focus of most of the mothers' dissatisfactions. In the area of well-child care and advice, more information was desired on accident prevention, dental care, behavior problems, sleep, and toilet training. The most important reasons for obtaining well-child care were immunizations, physical examinations, and reassurance of normal development. The results also suggest a need for more emphasis on well-child checkups during the second year of life, and for continued expert health supervision during the adolescent years. It was concluded that from the mothers' point of view the modern pediatrician does and can expect to continue to play an important role in the life of the child, family, and community.

Classes of pediatric care

PEDIATRICS ◽  
1977 ◽  
Vol 60 (4) ◽  
pp. 542-543
Author(s):  
MAURICE ROSS
Keyword(s):  
Primary Care ◽  
Child Care ◽  
Children And Adolescents ◽  
Medical Specialty ◽  
Pediatric Care ◽  
Well Child Care ◽  
Health Supervision ◽  
Better Than

Dr. Robert A. Hoekelman's commentary entitled “Primary Care: We Need All the Help We Can Get!” (Pediatrics 59:315, March 1977)raises some very important questions about the practice of pediatrics as a medical specialty. Whether we like it or not, we must admit that there are different classes of pediatric care even in the health supervision of apparently well children. We are all familiar with well-child care as practiced by the qualified pediatrician. If we were to deny that the pediatrician who devotes his career to the care and study of children and adolescents cannot do this work better than

Satisfaction With Health Care for Young Children

PEDIATRICS ◽  
2004 ◽  
Vol 113 (Supplement_5) ◽  
pp. 1965-1972 ◽  
Author(s):  
Neal Halfon ◽  
Moira Inkelas ◽  
Ritesh Mistry ◽  
Lynn M. Olson
Keyword(s):  
Health Care ◽  
Child Care ◽  
Young Children ◽  
Health System ◽  
Family Characteristics ◽  
Bivariate Analysis ◽  
Global Satisfaction ◽  
Lower Odds ◽  
Well Child Care ◽  
System Factors

Objectives. The aims of this study are to 1) assess parent satisfaction with well-child care for their young child and 2) identify how global satisfaction ratings and parent reports on the processes of care vary with child and family characteristics, health care received, and health system factors. Methods. The National Survey of Early Childhood Health is a telephone survey that used a stratified random-digit-dial sampling design to achieve a nationally representative sample of 2068 children and 4 to 35 months. Parents provided global ratings of satisfaction with their child’s well-child visits (range 0–100) and reported their satisfaction with information provided and the time spent with the provider. A subsample of parents whose child has a particular provider for well-child care (n = 930) also reported their likelihood of recommending their provider. Results. The mean global satisfaction rating is 86.9 (standard error: 6.1). Approximately 94% of parents of young children reported information satisfaction, 88% reported time satisfaction, and 79% would recommend their child’s provider. Bivariate analysis shows lower satisfaction for uninsured children but few differences associated with insurance type or health care setting. In multivariate analyses including child and family factors and health system factors, Hispanic, Spanish-speaking mothers of young children have lower odds than non-Hispanic white mothers of reporting information (odds ratio [OR]: 0.32; 95% confidence interval [CI]: 0.13–0.79) and time satisfaction (OR: 0.44; 95% CI: 0.21–0.90). Parents of children who experienced missed or delayed care have lower odds of time satisfaction (OR: 0.27; 95% CI: 0.16–0.46) and have lower global satisfaction. Greater length of well-child visits is consistently associated with greater satisfaction on all 4 measures. Conclusion. Although most parents reported relatively high levels of satisfaction with well-child care, shorter length of well-child visits and experiencing missed or delayed care are the 2 factors consistently associated with lower satisfaction using each of the measures. Efforts to improve satisfaction ratings might focus on improving the delivery of well-child care and ensuring that parents get the time they need.

scholarly journals Factors Associated with Unmet Need for Family Planning among Married Reproductive Age Women in Toke Kutaye District, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abebe Tadesse G/Meskel ◽  
Habtamu Oljira Desta ◽  
Elias Teferi Bala
Keyword(s):  
Family Planning ◽  
Maternal Education ◽  
Health Workers ◽  
Unmet Need ◽  
Married Women ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children

Background. It is estimated that more than 142 million married women in developing countries have an unmet need for family planning. This study is aimed at identifying factors associated with the unmet need of family planning among married women of reproductive age in Toke Kutaye district, Ethiopia in 2019. Methods. A community-based cross-sectional study was conducted in Toke Kutaye district from March 1–30, 2019. A systematic random sampling technique was used to select 494 reproductive-age women who were married during data collection. Data were collected using a pretested structured questionnaire. Bivariate and multivariate logistic regression analyses were used to assess factors associated with the unmet need of family planning at 95% CI with a p value of ≤ 0.05. Result. The prevalence of unmet need for family planning in the Toke Kutaye district was 23.1% [95% CI (19.2-26.7)], with 15.2% for spacing and 7.9% for limiting. Women’s education [AOR, 3.64, 95% CI: 1.43-9.25], number of living children [AOR, 2.63, 95% CI: 1.37-5.05], husband disapproval of family planning [AOR, 3.68, 95% CI: 2.20-6.16], and discussion with healthcare providers on family planning [AOR, 0.20, 95% CI: 0.13-0.37] were significantly associated with unmet need for family planning. Conclusion. The prevalence of unmet need for family planning was high. Therefore, program managers, partners, and health workers should work to address the gaps in maternal education, the number of living children, partner disapproval of family planning, and discussion on family planning issues through enhancing female education, awareness on family planning, and male involvement in family planning services.

What's Cheaper Than Pediatric Care?

PEDIATRICS ◽  
1976 ◽  
Vol 58 (5) ◽  
pp. 772-772
Author(s):  
Richard M. Narkewicz
Keyword(s):  
Health Care ◽  
Child Care ◽  
Health Care Costs ◽  
Pediatric Care ◽  
Continuing Care ◽  
Well Child Care ◽  
Fee Structure ◽  
The Cost ◽  
Care Costs

In these days of rising health care costs, the finger has been pointed at physicians as the cause of these increases. Because of these charges each physician should look critically at his own fee structure and try to compare it with other commodities in today's budgets. I have done just that. In totaling the cost of complete well-child care for a child and continuing care through the age of 20 years, I was surprised to find that in the present fee structure it costs a family $464.25.

Parents' and Child Care Professionals' Toilet Training Attitudes and Practices: A Comparative Analysis

2003 ◽  
Vol 17 (2) ◽  
pp. 133-146 ◽  
Author(s):  
Shulamit Natan Ritblatt ◽  
Amy Dale Obegi ◽  
Barbara S. Hammons ◽  
Teresa A. Ganger ◽  
Bill C. Ganger
Keyword(s):  
Child Care ◽  
Comparative Analysis ◽  
Toilet Training ◽  
Attitudes And Practices ◽  
Child Care Professionals

Social factors, weight perception, and weight control practices among adolescents in Mexico

2016 ◽  
Vol 23 (7) ◽  
pp. 939-950 ◽  
Author(s):  
Ietza Bojorquez ◽  
Jorge Villatoro ◽  
Marlene Delgadillo ◽  
Clara Fleiz ◽  
Diana Fregoso ◽  
...  
Keyword(s):  
Body Weight ◽  
National Survey ◽  
Social Factors ◽  
Poisson Regression ◽  
Regression Models ◽  
Weight Control ◽  
Maternal Education ◽  
Weight Perception ◽  
Level Of Education ◽  
Body Weight Perception

We evaluated the association of social factors and weight control practices in adolescents, and the mediation of this association by weight perception, in a national survey of students in Mexico ( n = 28,266). We employed multinomial and Poisson regression models and Sobel’s test to assess mediation. Students whose mothers had a higher level of education were more likely to perceive themselves as overweight and also to engage in weight control practices. After adjusting for body weight perception, the effect of maternal education on weight control practices remained significant. Mediation tests were significant for boys and non-significant for girls.

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