Navigation Links
In Early Childhood, Continuous Care by One Doctor Improves Delivery of Health Screenings
Date:3/3/2008

PHILADELPHIA, March 3 /PRNewswire-USNewswire/ -- Children examined by the same doctor during their first six months of life are more likely to receive appropriate preventive health screenings -- for lead poisoning, anemia and tuberculosis -- by age two. Pediatric researchers said being cared for repeatedly by the same physician, often referred to as continuity of care, was a very important factor in the children they studied.

Researchers from The Children's Hospital of Philadelphia and The University of Pennsylvania reported on a study of 1,564 infants with Medicare insurance in the March issue of the journal Pediatrics. All the infants were born at three Philadelphia-area hospitals between July 1999 and March 2001 and received health care at over 120 different primary care offices. The finding applied to all office visits, in addition to "well child" visits, and children were followed for the first two years of life.

"Continuity of care may be of particular importance to vulnerable pediatric patients, such as those insured through the Medicaid program," said Evaline Alessandrini, M.D., M.S.C.E., a pediatrician at Children's Hospital and principal investigator of the study. "All health care visits, not just well child visits, are important in establishing relationships with families and meeting children's health care needs."

Children most at risk, such as those from urban, low-income families, often don't receive proper screening for lead toxicity, anemia and tuberculosis. Lead toxicity in early life can lead to lower intelligence later. Iron deficiency anemia can cause problems with movement and damage sight or hearing. Tuberculosis, while becoming less common, can have serious complications for children.

Attempts to improve outcomes should focus not only on increasing the number of visits to a primary care provider, but also reducing the number of pediatricians treating the child over time. A next step is to identify which children are most at risk of not receiving repeat care from the same doctor.

"In 2008, there's a lot of discussion about the purpose of primary care and the benefits children achieve by having a regular doctor," said Alessandrini. "We don't want to forget the basics and if there are simple ways to ensure those aspects of primary care are met, then we should find ways to get them done."

Although they examined duration of office hours and other practice specific information, the researchers did not determine whether a medical office uses electronic records to alert providers when it was time for screening, a method shown in past studies to improve vaccination rates and other services.

Also, the authors caution that increasing continuity of care is difficult because certain office visits require immediate medical attention and parents may prefer their child see the first physician available rather than wait to see their regular doctor. Future studies are needed to monitor patients over a longer period of time and in a wider geographic region, the authors said.

Alessandrini's co-authors are Ana Flores, B.S., from The University of Pennsylvania School of Medicine, and Warren Bilker, Ph.D., from the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania. Alessandrini's research was supported by a grant from the National Institute of Child Health and Human Development.

About The Children's Hospital of Philadelphia: The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking third in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 430-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.


'/>"/>
SOURCE The Children's Hospital of Philadelphia
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. In early childhood, continuous care by 1 doctor improves delivery of health screenings
2. Marker for Diabetes Might Miss Early Vision Complication
3. Business Leaders, Policy Makers and Advocates Gather to Discuss Strategies for Securing the Nations Economy by Investing in Early Childhood
4. Horizon Organic(R) Family Farmer Network Grows by Nearly 35 Percent
5. Overweight Hispanic Kids Show Early Markers for Diabetes
6. Otho S.A. Sprague Memorial Institute awards Rush nearly $125,000 for new patient-safety project
7. Grant to study if early BPA exposure leads to late prostate cancer
8. Optimal band imaging with endoscopy facilitates the diagnosis of depressed-type early gastric cancer
9. Early warning: PSA testing can predict advanced prostate cancer
10. ReBuilder Medical Technologies, Inc. Announces 2007 Sales Nearly Doubled Sales in 2006
11. Cancer Drug Works Against MS in Early Trial
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... ... ... “Finding Christ Through Social Media: Year One #A365DayJourney to ... path toward true communion with God. “Finding Christ Through Social Media: Year One ... published author Lea Michelle Johnson, a follower of Christ, wife and mother who ...
(Date:3/24/2017)... ... March 24, 2017 , ... “The Communion of Saints: ... of God in congregations across the United States. “The Communion of Saints” ... 1964 who has served congregations in seven states throughout his long career of ...
(Date:3/23/2017)... ... ... A recent report from the National Council on Teacher Quality (NCTQ) advocates ... based on a review of GPA and SAT/ACT requirements at 221 institutions in 25 ... argues that this higher bar should be set by states, by the Council for ...
(Date:3/23/2017)... Braunfels, TX (PRWEB) , ... March 23, 2017 , ... ... new clinic, located at 960 Gruene Road in Building 2. The clinic is the ... Dr. Andrew Bennett, PT, says opening the company’s second New Braunfels location brings things ...
(Date:3/23/2017)... ... ... The MBI “Hall of Fame” recognizes the contributions of those whose careers are or were ... careers of all others involved. , On Monday, March 21st, 2017 Laurie Robert, ... Fame. The induction took place during the World of Modular – Award Gala in ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... YORK , March 24, 2017 ... and Equipment stocks, which are: Neovasc Inc. (NASDAQ: NVCN), Hologic ... Heart Inc. (NASDAQ: SSH ). These companies are ... its prior gains on Thursday, March 23 rd , 2017, ... afternoon, while shares of health care companies in the S&P ...
(Date:3/24/2017)... 2017  HealthMine surveys with 9,250 insured consumers fielded ... plan members want help from their plans in five ... their health, 2) help closing gaps in care, 3) ... and 5) relevant, real-time guidance. Meeting these needs is ... A Reason to Stay Engaged ...
(Date:3/24/2017)... The Board of Directors of Nordic Nanovector ASA (OSE: ... complete 2016 Annual Accounts with notes. The report is attached ... the section Investor Relations/Reports and presentations/Annual Reports. ... For further information, please ... Cell: +47-91-51-95-76 Email: ir@nordicnanovector.com Media enquiries: ...
Breaking Medicine Technology: