Physicians'children are treated differently in the emergency department.
The objective was to determine whether children with a physician parent receive treatment different from that of children of nonphysician parents when they present to the emergency department (ED).
The design was a retrospective cohort study.
The setting was a university-affiliated children's hospital ED.
All children with a physician parent seen in the ED during a 16-month period were identified.
Children with a nonphysician parent were matched to children with a physician parent by date and time of visit.
Length of stay in ED, performance of laboratory or radiological testing, evaluation by a consultant, and training level of the least experienced physician to evaluate the patient in the ED were measured.
The authors identified 92 children with a physician parent and 181 children with nonphysician parents.
Children of physician parents were similar to controls with regard to age, sex, nursing acuity level, length of stay, and whether a laboratory or radiographic procedure was performed.
Children with a physician parent saw significantly fewer nonconsultant physicians while in the ED (P=005).
Compared with controls, the most junior member of the medical team seen by children of a physician parent was less likely to be a medical student (relative risk epsilonRRzêta=0.22) or a resident (RR=0.71) and more likely to be an ED staff physician (RR=1.52) or consultant (RR=1.84).
This trend was statistically significant (P=002).
The children of physician parents a...
Mots-clés Pascal : Soin, Traitement, Qualité, Service hospitalier, Urgence, Catégorie socioprofessionnelle, Parent, Médecin, Etude comparative, Enfant, Etude cohorte, Rétrospective, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Care, Treatment, Quality, Hospital ward, Emergency, Socioeconomic category, Parent, Physician, Comparative study, Child, Cohort study, Retrospective, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0153177
Code Inist : 002B30A11. Création : 199608.