Health status of well vs ill adolescents

Article Abstract:

Ill adolescents may not be definable as a group and may be treated on an individual basis. Researchers developed a health profile questionnaire and used it to evaluate the health of 1021 healthy and ill adolescents ages 11 to 17. Teenagers with chronic (long duration) illnesses such as cystic fibrosis had poorer satisfaction with their health but more family support and reported more home safety measures than did acutely ill (short duration) teens. Healthy and ill teens could not be easily generalized into groups, emphasizing the need for individualized medical care.

Analysis, Medical care, Teenagers, Youth, Medical care utilization, Health status indicators

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Changes in the daily practice of primary care for children

Article Abstract:

There was a significant increase in primary care visits for children in the 15 years between 1979 and 1994. The number of visits increased by 22% from 97 million to 111 million, and the average age of the child dropped from 6.7 years to 5.7 years. Method of payment also changed significantly. Managed care and Medicaid increased by large amounts while self-paid visits dropped from 50% to 10%. The number of visits for respiratory reasons, including asthma, sinusistis, and rhinitis, increased dramatically during that time.

Sick children, Child health services, Pediatric respiratory diseases

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The Pediatric Primary-Specialty Care Interface

Article Abstract:

Pediatricians refer only a small number of their patients to specialists or other practitioners, but they often refer to others for advice on diagnosis and treatment or for surgical consultation. Researchers reviewed 58,771 patient visits to 142 pediatricians, and found that 2% of visits resulted in referral. Pediatricians made 74% of referrals for a specialist opinion, and 52% of referrals to surgeons. The most common condition associated with referral was middle-ear infection.

United States, Statistical Data Included, Practice, Medical referral, Pediatricians

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