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  1. Insurance status and recognition of psychosocial problems : A report from the pediatric research in office settings and the ambulatory sentinel practice networks.

    Article - En anglais

    Objective 

    To examine the effect of insurance status on clinician recognition of psychosocial problems for pediatric primary care visits.

    Design 

    A cohort study of 10 250 visits by children 4 to 15 years old for nonemergent care.

    Setting 

    Two large primary care research networks reported data from 172 primary care clinicians in office-based practice.

    Patients 

    Ten thousand two hundred and fifty unique children presenting consecutively to participating physicians for nonemergent services with a parent or caregiver.

    Main Outcome Measure 

    Children were classified as positive for psychosocial problems if their score on the parent-reported Pediatric Symptom Checklist exceeded the standard cutoff of 28.

    Clinician recognition was obtained by report as a dichotomous variable.

    Insurance status was categorized by payor and plan structure.

    Results 

    Clinicians did not recognize psychosocial problems for a substantial number of children with scores suggestive of marked psychosocial dysfunction on the Pediatric Symptom Checklist.

    Insurance type was not associated with rates of recognition.

    However, provider familiarity with patients, provider discipline, and patient demographics were associated with increased recognition of psychosocial problems. (...)

    Mots-clés Pascal : Psychopathologie, Etude cohorte, Aspect social, Assurance maladie, Relation médecin malade, Traitement, Enfant, Homme, Etude comparative, Critère sélection, Evaluation, Système nerveux pathologie, Organisation santé

    Mots-clés Pascal anglais : Psychopathology, Cohort study, Social aspect, Health insurance, Physician patient relation, Treatment, Child, Human, Comparative study, Selection criterion, Evaluation, Nervous system diseases, Public health organization

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

    Cote : 98-0020898

    Code Inist : 002B18C04. Création : 17/04/1998.