Determinants of counseling in primary care pediatric practice : Physician attitudes about time, money, and health issues.
Pediatric Academic Societies Annual Meeting. Washington, DC, USA, 1996/05/10.
To assess pediatrician goals and practice in preventive counseling, and to use social learning theory to examine physician attitudes about preventive health issues, time, and reimbursement to explain physician counseling behavior.
Random sample survey of American Academy of Pediatrics fellows.
A total of 1620 pediatricians were surveyed with a return rate of 72%. The 556 pediatricians who had finished training and who currently performed child health supervision were included.
Pediatricians were asked about their goals in 6 areas of health supervision : biomedical issues, development, behavior, family functioning, safety education, and supportive interpersonal interaction.
They were also asked about the prevalence of counseling, importance of specific topics, their self-efficacy, outcome expectation in these areas, and their concerns about time and reimbursement for preventive counseling.
Assurance of physical health and normal development were the most important goals of child health supervision among the pediatricians surveyed.
Goals involving behavioral, family, and safety issues were less important and less likely to be addressed in practice.
Most did not regularly discuss family stress, substance abuse, gun safety, and television.
In these areas, physicians had less confidence they could provide guidance and lower expectation that they could prevent problems. (...)
Mots-clés Pascal : Pédiatrie, Conseil, Médecine préventive, Pratique professionnelle, Promotion santé, Surveillance, Développement psychomoteur, Développement staturopondéral, Santé, Assurance maladie, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Pediatrics, Council, Preventive medicine, Professional practice, Health promotion, Surveillance, Psychomotor development, Somatic growth, Health, Health insurance, United States, North America, America, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0313362
Code Inist : 002B30A05. Création : 16/11/1999.