This study aimed to evaluate adherence and identity ways to improve concordance between blood lead testing guidelines and practice.
One hundred fifty-five pediatricians responded to a questionnaire assessing demographic, knowledge, and attitudinal factors relating to lead testing.
Only 27% of the respondents adhered to the guidelines, and less than half knew all of the answers to three factual questions about the recommendations.
Adherence was higher among physicians who knew the guidelines, were more recently trained, or had high proportions of Medicaid or minority patients.
Conclusions, Physician education and financial incentives hold the most premise for increasing adherence to blood lead testing guidelines.
Mots-clés Pascal : Plomb, Plasma sanguin, Dosage, Médecin, Pédiatrie, Pratique professionnelle, Attitude, Recommandation, Saturnisme, Epidémiologie, Evaluation, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Questionnaire, Toxicité, Exploration toxicologique, Métal lourd, Personnel sanitaire
Mots-clés Pascal anglais : Lead, Blood plasma, Assay, Physician, Pediatrics, Professional practice, Attitude, Recommendation, Saturnism, Epidemiology, Evaluation, Child, Human, United States, North America, America, Questionnaire, Toxicity, Toxicological exploration, Heavy metal, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0477810
Code Inist : 002B30A05. Création : 03/02/1998.