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  1. The role of a secondary pediatric ambulatory care service within the community.

    Article - En anglais

    Objective 

    To describe the establishment and function of a secondary pediatric ambulatory care service within the community, to assess the utilization of a pediatric community service ( « The Center »), and to assess parents'degree of satisfaction with the quality of care in the center.

    Design 

    Personal information and information regarding all visits was recorded and analyzed.

    A structured telephone interview was used to evaluate parents'satisfaction with the quality of care in the center.

    Setting 

    A pediatric community centre managed by board certified pediatricians.

    The clinic offers primary and secondary care.

    Participants 

    A random sampling of parents of children who visited the center (n=615).

    Results 

    The number of children treated in the center increased five-fold within three years.

    Most visits took place during evening hours and over the weekends.

    The most common presenting symptoms were fever, respiratory and gastrointestinal complaints, earache, and trauma.

    Eighty-nine percent of parents were satisfied or very satisfied with the quality of care in tbe center ; 95% were satisfied or very satisfied with the attitudes of physicians and nurses providing treatment.

    Conclusion 

    The center is widely utilized by parents with a great degree of satisfaction.

    The availability and extended working hours of the center provided medical care for a large number of children seeking « after hours » medical attention, as well as a backup for the primary care physicians. (...)

    Mots-clés Pascal : Pédiatrie, Ambulatoire, Structure secondaire, Organisation, Service santé, Relation médecin malade, Qualité vie, Satisfaction, Communauté, Parent Attitude Survey, Evaluation, Homme, Organisation santé

    Mots-clés Pascal anglais : Pediatrics, Ambulatory, Secondary structure, Organization, Health service, Physician patient relation, Quality of life, Satisfaction, Community, Parent Attitude Survey, Evaluation, Human, Public health organization

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

    Cote : 97-0210930

    Code Inist : 002B30A04D. Création : 21/05/1997.