Perry Cynthia D, Kenney Genevieve M
The Urban Institute, Washington, DC 20037, USA.
Ambul Pediatr. 2007 Sep-Oct;7(5):390-5. doi: 10.1016/j.ambp.2007.06.001.
Many children in the United States do not receive advice about health behaviors and injury prevention during routine preventive care visits. We investigated the role of provider type in the probability of receiving advice.
We analyzed children aged 3 to 17 in the Medical Expenditure Panel Data 2002 to 2003 surveys who had only 1 preventive clinic or office visit in the past year. We examined whether provider type affects whether the child is advised about healthy eating, physical activity, the harmful effects of smoking in the home, proper safety restraints in a car, and use of a helmet when riding a bicycle.
Pediatricians were more likely to advise about healthy eating (63.6% vs 46.8% for other physicians and 41.1% for nonphysicians; P < .01). They were also more likely than nonphysicians to advise about exercise (40.1% vs 22.2%), the harmful effects of parental smoking (42.4% vs 21.4%), proper safety restraints in a car (39.9% vs 20.5%), and use of a bicycle helmet (45.7% vs 20.9%). Regardless of provider type, rates of advice were low.
Many pediatric providers, particularly those not trained as pediatricians, are missing opportunities to advise about health behaviors and injury prevention.
在美国，许多儿童在常规预防性保健就诊期间未获得有关健康行为和伤害预防的建议。我们调查了医疗服务提供者类型在获得建议可能性方面的作用。
我们分析了2002年至2003年医疗支出小组数据调查中年龄在3至17岁之间、过去一年仅进行过1次预防性诊所或办公室就诊的儿童。我们研究了医疗服务提供者类型是否会影响儿童是否获得关于健康饮食、体育活动、家中吸烟的有害影响、汽车中正确的安全约束以及骑自行车时使用头盔的建议。
儿科医生更有可能就健康饮食提供建议（63.6%，其他医生为46.8%，非医生为41.1%；P <.01）。他们也比非医生更有可能就运动（40.1% 对22.2%）、父母吸烟的有害影响（42.4% 对21.4%）、汽车中正确的安全约束（39.9% 对20.5%）以及使用自行车头盔（45.7% 对20.9%）提供建议。无论医疗服务提供者类型如何，建议率都很低。
许多儿科医疗服务提供者，尤其是那些未接受过儿科医生培训的人员，正在错失就健康行为和伤害预防提供建议的机会。
