Paediatricians provide higher quality care to children and adolescents in primary care : A systematic review
© 2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd..
AIM: The number of primary care paediatricians is decreasing in Europe without a justifiable reason. We aimed to compare the clinical practice of paediatricians and family doctors attending children and adolescents in primary care.
METHODS: MEDLINE, Embase, CENTRAL, TRIP and Google Scholar were searched from December 2008 to February 2018. No language or study design restrictions were applied. Three reviewers assessed eligibility of the studies. Seven pairs of reviewers performed the data extraction and assessed the methodological quality independently. Discrepancies were resolved by consensus.
RESULTS: Fifty-four, out of 1150 studies preselected, were included. We found that paediatricians show more appropriate pharmacology prescription patterns for the illness being treated; they achieve higher vaccination rates and have better knowledge of vaccines and fewer doubts about vaccine safety; their knowledge and implementation of different screening tests are better; they prescribe psychoactive drugs more cautiously and more in line with current practice guidelines; their evaluation and treatment of obesity and lipid disorders follow criteria more consistently with current clinical practice guidelines; and they perform fewer diagnostic test, show a more suitable use of the test and request fewer referrals to specialists.
CONCLUSION: According to published data, in developed countries, paediatricians provide higher quality care to children than family doctors.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2020 |
---|---|
Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:109 |
---|---|
Enthalten in: |
Acta paediatrica (Oslo, Norway : 1992) - 109(2020), 10 vom: 30. Okt., Seite 1989-2007 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Aparicio Rodrigo, María [VerfasserIn] |
---|
Links: |
---|
Themen: |
Ambulatory care |
---|
Anmerkungen: |
Date Completed 14.05.2021 Date Revised 14.05.2021 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1111/apa.15324 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM308962877 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM308962877 | ||
003 | DE-627 | ||
005 | 20231225132852.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2020 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1111/apa.15324 |2 doi | |
028 | 5 | 2 | |a pubmed24n1029.xml |
035 | |a (DE-627)NLM308962877 | ||
035 | |a (NLM)32311805 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Aparicio Rodrigo, María |e verfasserin |4 aut | |
245 | 1 | 0 | |a Paediatricians provide higher quality care to children and adolescents in primary care |b A systematic review |
264 | 1 | |c 2020 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 14.05.2021 | ||
500 | |a Date Revised 14.05.2021 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. | ||
520 | |a AIM: The number of primary care paediatricians is decreasing in Europe without a justifiable reason. We aimed to compare the clinical practice of paediatricians and family doctors attending children and adolescents in primary care | ||
520 | |a METHODS: MEDLINE, Embase, CENTRAL, TRIP and Google Scholar were searched from December 2008 to February 2018. No language or study design restrictions were applied. Three reviewers assessed eligibility of the studies. Seven pairs of reviewers performed the data extraction and assessed the methodological quality independently. Discrepancies were resolved by consensus | ||
520 | |a RESULTS: Fifty-four, out of 1150 studies preselected, were included. We found that paediatricians show more appropriate pharmacology prescription patterns for the illness being treated; they achieve higher vaccination rates and have better knowledge of vaccines and fewer doubts about vaccine safety; their knowledge and implementation of different screening tests are better; they prescribe psychoactive drugs more cautiously and more in line with current practice guidelines; their evaluation and treatment of obesity and lipid disorders follow criteria more consistently with current clinical practice guidelines; and they perform fewer diagnostic test, show a more suitable use of the test and request fewer referrals to specialists | ||
520 | |a CONCLUSION: According to published data, in developed countries, paediatricians provide higher quality care to children than family doctors | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Review | |
650 | 4 | |a Systematic Review | |
650 | 4 | |a ambulatory care | |
650 | 4 | |a family | |
650 | 4 | |a family practice | |
650 | 4 | |a paediatricians | |
650 | 4 | |a physicians | |
650 | 4 | |a primary health care | |
700 | 1 | |a Ruiz Canela, Juan |e verfasserin |4 aut | |
700 | 1 | |a Buñuel Álvarez, Jose Cristóbal |e verfasserin |4 aut | |
700 | 1 | |a García Vera, César |e verfasserin |4 aut | |
700 | 1 | |a Esparza Olcina, Maria Jesús |e verfasserin |4 aut | |
700 | 1 | |a Barroso Espadero, Domingo |e verfasserin |4 aut | |
700 | 1 | |a González Rodríguez, Paz |e verfasserin |4 aut | |
700 | 1 | |a Juanes Toledo, Blanca |e verfasserin |4 aut | |
700 | 1 | |a Martínez Rubio, Victoria |e verfasserin |4 aut | |
700 | 1 | |a Ortega Páez, Eduardo |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Acta paediatrica (Oslo, Norway : 1992) |d 1994 |g 109(2020), 10 vom: 30. Okt., Seite 1989-2007 |w (DE-627)NLM012619973 |x 1651-2227 |7 nnns |
773 | 1 | 8 | |g volume:109 |g year:2020 |g number:10 |g day:30 |g month:10 |g pages:1989-2007 |
856 | 4 | 0 | |u http://dx.doi.org/10.1111/apa.15324 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 109 |j 2020 |e 10 |b 30 |c 10 |h 1989-2007 |