Arch Pediat Adol Med
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Arch Pediat Adol Med · Jan 2004
Influence of Medicaid managed care enrollment on emergency department utilization by children.
To explore the association between Medicaid managed care plan enrollment and emergency department (ED) utilization. ⋯ Children with all of their Medicaid enrollment in managed care have the lowest ED utilization rates for complex and noncomplex services. These results suggest that reducing delays in managed care plan enrollment may be an effective strategy to reduce ED utilization for this population.
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Arch Pediat Adol Med · Jan 2004
Smoking cessation counseling with young patients: the practices of family physicians and pediatricians.
To investigate family physicians' and pediatricians' practice of and perceived barriers to smoking cessation counseling among patients 18 years and younger. ⋯ Improvement in smoking cessation counseling skills and practices is needed among physicians treating children and adolescents.
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Arch Pediat Adol Med · Jan 2004
Comparative StudyThe effect of prior interactions with a primary care provider on nonurgent pediatric emergency department use.
To determine the effect of parental reported difficulty getting care without long waits from a primary care provider (PCP) on nonurgent pediatric emergency department (ED) use. ⋯ Parental-reported previous difficulty getting care without long waits from a PCP is a risk factor for nonurgent ED use.
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Arch Pediat Adol Med · Jan 2004
Comparative StudyComparison of traditional and plethysmographic methods for measuring pulsus paradoxus.
In the evaluation of patients with acute asthma, pulsus paradoxus (PP) is an objective and noninvasive indicator of the severity of airway obstruction. However, in children PP may be difficult or impossible to measure. Indwelling arterial catheters facilitate the measurement of PP, but they are invasive and generally reserved for critically ill patients. ⋯ Measurement of PP using the pulse oximeter-pulse plethysmographic waveform offers a simple and noninvasive method for evaluating patients with airway obstruction.