Do pediatricians think they are responsible for identification and management of child mental health problems? Results of the AAP Periodic Survey.
Objective: Childhood psychosocial problems have profound effects on development, functioning, and long-term mental health. The pediatrician is often the only health professional who regularly comes in contact with young children, and it is recommended that health care supervision should include care...
| Publicado en: | Ambulatory Pediatrics Vol. 8; no. 1; pp. 11 - 18 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jan/Feb2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105715579&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105715579 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15301567 V4N jtl: Ambulatory Pediatrics issn: 15301567 maglogo: N pubinfo: dt: Jan/Feb2008 vid: 8 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 105715579 2010118858 10.1016/j.ambp.2007.10.006 NLM18191776 105715579 ppf: 11 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Do pediatricians think they are responsible for identification and management of child mental health problems? Results of the AAP Periodic Survey. aug: au: Stein REK Horwitz SM Storfer-Isser A Heneghan A Olson L Hoagwood KE affil: Department of Pediatrics, AECOM/Montefiore, 111 East 210 Street, Bronx, NY 10467; rstein@aecom.yu.edu sug: subj: Mental Disorders Diagnosis Mental Disorders Therapy Pediatricians Physician's Role Adult American Academy of Pediatrics Chi Square Test Child Confidence Intervals Descriptive Statistics Female Funding Source Male Middle Age Multiple Logistic Regression Odds Ratio Physician Attitudes Random Sample Surveys Human Adult: 19-44 years Child: 6-12 years Middle Aged: 45-64 years Female Male ab: Objective: Childhood psychosocial problems have profound effects on development, functioning, and long-term mental health. The pediatrician is often the only health professional who regularly comes in contact with young children, and it is recommended that health care supervision should include care of behavioral and emotional issues. However, it is unknown whether pediatricians believe they should be responsible for this aspect of care. Our objective was to report the proportion of physicians who agree that pediatricians should be responsible for identifying, treating/managing, and referring a range of behavioral issues in their practices, and to examine the personal physician and practice characteristics associated with agreeing that pediatricians should be responsible for treating/managing 7 behavioral issues.Methods: The 59th Periodic Survey of members of the American Academy of Pediatrics was sent to a random sample of 1600 members. The data that are presented are based on the responses of 659 members in current practice and no longer in training who completed the attitude questions.Results: More than 80% of respondents agreed that pediatricians should be responsible for identification, especially for attention-deficit/hyperactivity disorder (ADHD), eating disorders, child depression, child substance abuse, and behavior problems. In contrast, only 59% agreed that pediatricians were responsible for identifying learning problems. Seventy percent thought that pediatricians should treat/manage ADHD; but for other conditions, most thought that their responsibility should be to refer. Few factors were consistently associated with higher odds of agreement that pediatricians should be responsible for treating/managing these problems, except for not spending their professional time exclusively in general pediatrics.Conclusions: These data suggest that pediatricians think that they should identify patients for mental health issues, but less than one-third agreed that it is their responsibility to treat/manage such problems, except for children with ADHD. Those not working exclusively in general pediatrics were more likely to agree that pediatricians should be responsible for treating and managing children's mental health problems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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