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  1. Pediatric rheumatology in adult rheumatology practices in Washington State.

    Article - En anglais


    To determine both the extent to which adult rheumatologists treat children and their level of comfort in doing so.


    A questionnaire was sent to all 77 physicians in the state of Washington who were listed as adult rheumatologists in the American College of Rheumatology (ACR) directory.


    Sixty-six questionnaires (86%) were returned ; 50 were identified as being from private-practicing adult rheumatologists and were the focus of this study.

    Sixty-two percent of the respondents reported that they care for children ; predictors included increased exposure to pediatric rheumatology during fellowship (P=0.003), increased distance from Seattle (P=0.001), and listing oneself in the ACR directory as treating children (P=0.03).

    Most respondents reported feeling discomfort in treating children younger than 6 years of age, treating Kawasaki disease, and treating polyarteritis nodosa, but most reported feeling comfortable treating children with chronic arthritides.

    Impediments to referring to a pediatric rheumatologist included distance (median distance 35 miles), convenience for the family, personal preference, and experience in caring for children.

    Twenty-nine percent reported difficulties referring to a pediatric rheumatologist outside of one's managed care plan.

    Adult rheumatologists expressed interest in continuing medical education dealing with pediatric rheumatology, preferably with a lecture format in their home communities.



    Mots-clés Pascal : Expérience professionnelle, Médecin, Adulte, Homme, Enfant, Pédiatrie, Rhumatologie, Evaluation

    Mots-clés Pascal anglais : Professional experience, Physician, Adult, Human, Child, Pediatrics, Rheumatology, Evaluation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0347716

    Code Inist : 002B30A05. Création : 10/04/1997.