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Primary care pediatricians' satisfaction with subspecialty care, perceived supply, and barriers to care.
Pletcher, Beth A; Rimsza, Mary Ellen; Cull, William L; Shipman, Scott A; Shugerman, Richard P; O'Connor, Karen G.
Afiliação
  • Pletcher BA; Department of Pediatrics, UMDNJ - New Jersey Medical School, Newark, NJ. Electronic address: pletchba@umdnj.edu.
  • Rimsza ME; Department of Pediatrics, University of Arizona, Tucson, AZ.
  • Cull WL; Department of Research, American Academy of Pediatrics, Elk Grove Village, IL.
  • Shipman SA; Department of Pediatrics, Dartmouth Medical School, Lebanon, NH.
  • Shugerman RP; Department of Pediatrics, University of Washington, Seattle, WA.
  • O'Connor KG; Department of Research, American Academy of Pediatrics, Elk Grove Village, IL.
J Pediatr ; 156(6): 1011-1015.e1, 2010 Jun.
Article em En | MEDLINE | ID: mdl-20227727
OBJECTIVES: To compare satisfaction with specialty care by primary care pediatricians (PCPs), perceived barriers to care, and adequacy of specialist supply. STUDY DESIGN: A survey of U.S. pediatricians was conducted in 2007. PCPs were asked about satisfaction with specialty care for their patients, as well as supply of specific pediatric subspecialists. Responses of rural and nonrural PCPs were compared regarding 10 potential barriers to care. RESULTS: Most PCPs are satisfied with the quality of subspecialty care. However, they were not satisfied with wait times for appointments, and the availability of many pediatric medical subspecialties and several pediatric surgical specialties. Rural PCPs were significantly more likely to report these shortages compared with nonrural pediatricians; these included 9 of the 18 medical and 5 of the 7 surgical specialties. In addition to wait times for appointments, PCPs reported that subspecialists' nonparticipation in health insurance plans and lack of acceptance of uninsured patients were also barriers to obtaining subspecialty care for their patients. CONCLUSIONS: PCPs provide valuable insight into access to the pediatric subspecialty workforce. This survey of PCPs raises significant concerns about the adequacy of children's access to pediatric subspecialists, especially in rural communities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pediatria / Médicos / Encaminhamento e Consulta / Especialização / Acessibilidade aos Serviços de Saúde Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Child / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Ano de publicação: 2010 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pediatria / Médicos / Encaminhamento e Consulta / Especialização / Acessibilidade aos Serviços de Saúde Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Child / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Pediatr Ano de publicação: 2010 Tipo de documento: Article País de publicação: Estados Unidos