Pediatric rheumatology in adult rheumatology practices in Washington State.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0347716
Code Inist : 002B30A05. Création : 10/04/1997.