TIME-MOTION STUDY OF PRACTICING PEDIATRICIANS

Four practicing pediatricians were followed by an observer with a stopwatch for a total of 18 days to gain a profile of how their working days were spent. An average of 48% of the day was spent with patients, 12.5% on the phone, and 9% on paper work. Fifty per cent of patient time was spent with well children, and 22% on children with minor respiratory illness. Intellectual understimulation seemed to arise from spending the majority of time with children who did not require their special talents. In view of the alarming decline in ratio of physicians to child population, pediatricians are urged to play a decisive role in formulating the alternative patterns of child health care that must inevitably develop in the United States.

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MISSION AND MANPOWER

PEDIATRICS ◽

10.1542/peds.31.2.193 ◽

1963 ◽

Vol 31 (2) ◽

pp. 193-196

Author(s):

ALEX J. STEIGMAN

Keyword(s):

United States ◽

Health Care ◽

Child Health ◽

Health Services ◽

The United States ◽

Child Health Services ◽

Child Health Care ◽

Long Term Trends

THE SPECIAL ARTICLE by Stewart and Pennell, "Pediatric Manpower in the United States and Its Implications," is interesting and timely. It will be viewed differently by various readers, by some as seen from their personal perch, by others in terms of the broad reaches past and present of pediatrics as a discipline. The purposes of the Special Article are to highlight the manpower situation and to point out long-term trends and implications in the light of the growing responsibility of pediatrics. The authors say that one requires a "delineation of the role of the specialty of pediatrics in child health care," and "while this role may be shared by other types of physicians, the responsibility for the development, maintenance, and improvement of child health services was clearly assumed by pediatrics when, as a specialty, it adopted as its objectives the protection and promotion of the health of children."

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Medex: A Time-Motion Study

PEDIATRICS ◽

10.1542/peds.56.2.255 ◽

1975 ◽

Vol 56 (2) ◽

pp. 255-261

Author(s):

Clifford J. Sells ◽

Richard S. Herdener

Keyword(s):

Health Care ◽

Health Care Services ◽

Diagnostic Category ◽

Respiratory Illness ◽

Child Health Care ◽

Care Services ◽

Time Motion ◽

Family Practitioners ◽

Motion Study ◽

Minor Surgery

Six Medex working with family practitioners were followed by an observer for a total of 18 days to gain an objective profile of how Medex spent their workday. Medex on the average spent 30% of their time with office patients and saw 38% of all office patients. Medex saw between 25% and 100% of all pediatric office patients and spent on the average 37% of their office patient time with pediatric patients. On the average, Medex saw 8 pediatric and 11 adult office patients per day. Well-child examinations, the largest pediatric diagnostic category, accounted for 30% of Medex pediatric office patient time. Minor surgery accounted for the second largest portion of pediatric office patient time (21%) while respiratory illness ranked third (11%). In view of the increasing role family practitioners and their assistants will undoubtedly play in the provision of child health care, pediatricians are urged to work closely with family physicians in developing and implementing health care services for children.

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Child Health Care in the United States

New England Journal of Medicine ◽

10.1056/nejm198112173052516 ◽

1981 ◽

Vol 305 (25) ◽

pp. 1532-1534 ◽

Cited By ~ 1

Keyword(s):

United States ◽

Health Care ◽

Child Health ◽

The United States ◽

Child Health Care

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Child Health Care in the United States

New England Journal of Medicine ◽

10.1056/nejm198109033051004 ◽

1981 ◽

Vol 305 (10) ◽

pp. 552-556 ◽

Cited By ~ 28

Author(s):

Marsha Fishbane ◽

Barbara Starfield

Keyword(s):

United States ◽

Health Care ◽

Child Health ◽

The United States ◽

Child Health Care

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American Academy of Pediatrics Community Access to Child Health (CATCH) Program: A Model for Supporting Community Pediatricians

PEDIATRICS ◽

10.1542/peds.112.s3.735 ◽

2003 ◽

Vol 112 (Supplement_3) ◽

pp. 735-737

Author(s):

O. Marion Burton

Keyword(s):

United States ◽

Health Care ◽

Health Insurance ◽

Child Health ◽

American Academy ◽

The United States ◽

The United Kingdom ◽

American Academy Of Pediatrics ◽

Community Access ◽

And Child Health

The Issue. Advocacy on behalf of children who are medically underserved and the pediatricians who care for them has been a long-standing core commitment of the Royal College of Paediatrics and Child Health and the American Academy of Pediatrics. Although different in etiology, barriers to adequate health care exist in both nations. In the United States, almost 18 million children have either no health insurance or inadequate coverage, whereas in the United Kingdom, parents can, in most cases, readily enroll their youngsters in a universal health insurance program that is not dependent on employers or employment.1 However, despite universal access to health care in the United Kingdom, as in the United States, there are infants and children who do not regularly use or otherwise connect to available health care delivery systems. Many of these families are not participants in other social systems (eg, church, school, voting, employment, property ownership/rental) and therefore are not known to governments, agencies, authorities, or health care professionals. Both nations have citizens living in extreme poverty with its associated environmental and health hazards and tendencies to health risk behaviors. Both the Royal College of Paediatrics and Child Health and the American Academy of Pediatrics have strategies and programs to address these issues and to support pediatricians who work in their communities to improve the lives of children. The following describes the American Academy of Pediatrics Community Access to Child Health infrastructure that supports practicing community pediatricians in these efforts and opportunities to develop collaborative international endeavors to advance the practice of community pediatrics.

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Child Health Care in the United States: Expenditures and Extent of Coverage With Selected Comprehensive Services

PEDIATRICS ◽

10.1542/peds.55.2.176 ◽

1975 ◽

Vol 55 (2) ◽

pp. 176-181

Author(s):

Helen M. Wallace ◽

Hyman Goldstein

Keyword(s):

United States ◽

Health Care ◽

Health Expenditures ◽

The United States ◽

Children And Youth ◽

Fiscal Year ◽

Child Health Care ◽

Future Planning ◽

Pertinent Data ◽

Average Expenditure

This paper summarizes pertinent data on national health expenditures for children and youth. In fiscal year 1972, the average expenditure per child per year for health care from all sources in the United States was $ 147 for children and youth under 19 years of age, an amount 15% above that for the children and youth projects ($ 128 per child per year). The extent of coverage of children and youth, even those in high-priority groups, is still very restricted. Some implications are suggested for future planning for the use of existing funds currently available for the health care of children and youth.

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AN AMERICAN LOOKS AT EUROPEAN CHILD HEALTH

PEDIATRICS ◽

10.1542/peds.42.5.727 ◽

1968 ◽

Vol 42 (5) ◽

pp. 727-732

Author(s):

Martha M. Eliot

Keyword(s):

United States ◽

Health Care ◽

Child Health ◽

Maternity Care ◽

The United States ◽

Children And Families ◽

Comprehensive Health Care ◽

High Quality ◽

Comprehensive Health ◽

European Child

In View of the ferment today in the United States in our search for new ways and means to organize the delivery of high quality, comprehensive health care to children and families on a community basis, Dr. Miller's report of a survey of "Health Services for Children in some Western European Countries: Their Significance for the United States," published elsewhere in this issue of Pediatrics1 is of timely interest. Pediatricians and others responsible for the delivery of maternity care and health care to children and families, and especially those involved in the planning and administration of programs (public or voluntary) through which combined and comprehensive preventive and curative services are delivered to families on a community basis, will find this report of more than passing interest and should also give their attention to the more detailed appendix material that will be available with reprints.

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