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Caring for Children in Immigrant Families: Are United States Pediatricians Prepared?
Sisk, Blake; Green, Andrea; Chan, Kevin; Yun, Katherine.
Afiliación
  • Sisk B; Department of Research, American Academy of Pediatrics (B Sisk), Itasca, Ill. Electronic address: bsisk@aap.org.
  • Green A; Department of Pediatrics, University of Vermont Children's Hospital, Larner College of Medicine at the University of Vermont (A Green), Burlington, Vt.
  • Chan K; Institute of Better Health and Children's and Women's Health, Trillium Health Partners (K Chan), Mississauga, ON, Canada; Department of Pediatrics, University of Toronto (K Chan), Toronto, ON, Canada.
  • Yun K; Department of Pediatrics, Children's Hospital of Philadelphia (K Yun), Philadelphia, Pa; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine (K Yun), Philadelphia, Pa.
Acad Pediatr ; 20(3): 391-398, 2020 04.
Article en En | MEDLINE | ID: mdl-31790799
OBJECTIVE: A growing number of children in the United States are from immigrant families. We conducted a national survey to examine pediatricians' self-rated preparedness to care for children in immigrant families. METHODS: A 2017 survey of American Academy of Pediatrics members assessed respondent characteristics, formal training in and experience with global, public, or immigrant health, and preparedness to care for children in immigrant families. Descriptive statistics and a multivariable logistic regression model examined associations between characteristics, formal training, experience, and preparedness. RESULTS: The survey response rate was 47% (n = 758/1628). One third of respondents (33.6%) reported being unprepared to care for children in immigrant families. In bivariate analyses, respondents who had graduated from medical school outside of the United States, had previous education on immigrant health care, or had recent international global health experience were most likely to report feeling prepared to care for children in immigrant families. Multivariable regression model results indicated that prior education on immigrant health (adjusted odds ratio [AOR] 4.07; 95% confidence interval [CI] 2.68, 6.32), graduation from medical school outside the United States (AOR 2.35; 95% CI 1.22, 4.67), and proficiency in a language other than English (AOR 1.78; 95% CI 1.14, 2.80) were independently associated with preparedness. CONCLUSIONS: One in 3 US pediatricians report being unprepared to care for children in immigrant families. Wider implementation of graduate and continuing medical education on immigrant child health is needed to ensure that practicing pediatricians have the appropriate skills and knowledge to care for this patient population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Competencia Clínica / Emigrantes e Inmigrantes / Pediatras Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Acad Pediatr Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Competencia Clínica / Emigrantes e Inmigrantes / Pediatras Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Acad Pediatr Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos