Navigation Links
In early childhood, continuous care by 1 doctor improves delivery of health screenings

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 Childrens 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 dont 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, theres a lot of discussion about the purpose of primary care and the benefits children achieve by having a regular doctor, said Alessandrini. We dont 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.


Contact: Juliann Walsh
Children's Hospital of Philadelphia

Related medicine news :

1. Marker for Diabetes Might Miss Early Vision Complication
2. Business Leaders, Policy Makers and Advocates Gather to Discuss Strategies for Securing the Nations Economy by Investing in Early Childhood
3. Horizon Organic(R) Family Farmer Network Grows by Nearly 35 Percent
4. Overweight Hispanic Kids Show Early Markers for Diabetes
5. Otho S.A. Sprague Memorial Institute awards Rush nearly $125,000 for new patient-safety project
6. Grant to study if early BPA exposure leads to late prostate cancer
7. Optimal band imaging with endoscopy facilitates the diagnosis of depressed-type early gastric cancer
8. Early warning: PSA testing can predict advanced prostate cancer
9. ReBuilder Medical Technologies, Inc. Announces 2007 Sales Nearly Doubled Sales in 2006
10. Cancer Drug Works Against MS in Early Trial
11. Yale test detects early stage ovarian cancer with 99 percent accuracy
Post Your Comments:
(Date:10/13/2017)... ... 2017 , ... While it’s often important to take certain medications during the ... Texas, has identified a solution. , She developed a prototype for MOTION LIGHT-UP PILL ... it eliminates the need to turn on a light when taking medication during the ...
(Date:10/13/2017)... Vegas, Nevada (PRWEB) , ... October 13, 2017 , ... ... 7® Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD ... dose required and providing a CBD form that can be easily incorporated into liquid ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Apple Rehab ... services, staged a mock evacuation of the facility as part of a disaster drill ... Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Ellevate Network, the ... business to advocate for action towards gender equality at their inaugural Summit in New ... the globe, and reached a social audience of over 3 million. To watch the ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, actor ... on sciatica in a new episode of "Success Files," which is an award-winning ... innovation and investigates each subject in-depth with passion and integrity. , Sciatica occurs ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... announces the European launch of their new low volume, high throughput ... Cambridge, U.K on October 4th. The new ... unprecedented speed and sensitivity while using far less sample volume through ... ... ...
(Date:9/28/2017)... -- Cohen Veterans Bioscience and Early Signal Foundation announce ... home sensors for real-time monitoring of patients with trauma-related ... organization focused on disruptive health solutions for rare disorders ... to record and integrate behavioral, cognitive, physiological and contextual ... ...
(Date:9/25/2017)... Sept. 25, 2017   Montrium , an ... solutions, today—from the IQPC Trial Master Files & ... NL)—announced that EastHORN Clinical Services has selected ... and TMF management. EastHORN, a leading European contract ... to increase transparency to enable greater collaboration with ...
Breaking Medicine Technology: