Academic pediatrics
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Academic pediatrics · Jul 2009
Comparative StudyDoes quality of primary care vary by level of training in pediatric resident continuity practices?
The aim of this study was to compare parental perception of quality of care provided by first- versus third-year pediatric residents who served as their children's primary care providers. ⋯ Parents rated residents at both training levels very highly for the quality of care provided. PL-3 residents had higher longitudinal continuity scores and were perceived to have greater knowledge about behavioral counseling and coordination of care with schools. Further research will need to elucidate strategies to improve earlier resident acquisition of coordination and behavior management skills.
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Academic pediatrics · Jul 2009
Association of medical home care and disparities in emergency care utilization among children with special health care needs.
The aim of this study was to determine whether having a medical home is associated with a reduction of racial/ethnic disparities in emergency care utilization by children with special health care needs (CSHCN). ⋯ Emergency care utilization for CSHCN differed significantly according to race/ethnicity. Having a medical home may be associated with a reduction in disparities in this fragile population.
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Academic pediatrics · May 2009
Comment Comparative StudyAdverse childhood experiences and adult health.
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Academic pediatrics · Mar 2009
Household language, parent developmental concerns, and child risk for developmental disorder.
Provider elicitation of parent developmental and behavioral (DB) concerns is the foundation of DB surveillance. Language differences may affect whether providers assess parental DB concerns. ⋯ Parents in Spanish primary language households reported lower child risk for developmental and behavioral disorder and less provider elicitation of developmental and behavioral concerns. These findings suggest that primary language may affect risk for developmental and behavioral disorder and likelihood of DB surveillance in children.