The role of pediatricians in the care of children with liver transplants.
To examine the role of pediatricians in posttransplantation care of pediatric liver transplant recipients.
Written survey of parents and pediatricians of children enrolled in a pediatric liver transplant program.
Questionnaires were mailed from a liver transplant center (LTC), set in a university-affiliated, tertiary-care medical center, to the homes of families and the offices of pediatricians in a variety of urban, suburban, and rural locales worldwide.
Eighty-four percent of families and 81% of pediatricians who met study criteria participated.
Only 8.9% of all pediatricians reported feeling comfortable providing all care for their liver transplant patients, while 82.2% were most comfortable sharing responsibility for care with the LTC.
The remaining 8.9% of pediatricians were most comfortable with the LTC providing care.
The more comfort pediatricians reported in providing care, the more likely parents were to report contacting pediatricians for medical problems.
The more comfort pediatricians reported, the more parents perceived that (1) pediatricians and the LTC work well together (P<. 03) ; (2) the LTC is informed about their child (P<. 001) ; and (3) pediatricians are similarly up-to-date (P<. 001).
Furthermore, the more comfort pediatricians felt, the more parents believed that the liver transplant improved their child's health (P<. 03) and that their child enjoys school (P=08). (...)
Mots-clés Pascal : Transplantation, Foie, Soin, Postopératoire, Médecin, Spécialité médicale, Pédiatrie, Aptitude professionnelle, Evolution, Etude statistique, Enfant, Homme, Chirurgie, Appareil digestif pathologie, Foie pathologie
Mots-clés Pascal anglais : Transplantation, Liver, Care, Postoperative, Physician, Medical specialty, Pediatrics, Vocational aptitude, Evolution, Statistical study, Child, Human, Surgery, Digestive diseases, Hepatic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0406119
Code Inist : 002B30A05. Création : 25/01/1999.