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The Journal of Pediatrics May 2016
Topics: Biomedical Research; Child; Hospitals, Pediatric; Humans; Pediatricians; Program Development; Texas
PubMed: 27112081
DOI: 10.1016/j.jpeds.2016.02.002 -
Israel Journal of Health Policy Research Aug 2022Psychosocial issues are an integral part of children's health and well-being, and it is widely acknowledged that pediatricians should be involved in their management. We...
BACKGROUND
Psychosocial issues are an integral part of children's health and well-being, and it is widely acknowledged that pediatricians should be involved in their management. We examined the current perception of the pediatrician's role in the management of psychosocial problems in Israel from the perspective of parents and pediatricians, and identified possible barriers.
METHODS
We assessed parents' and pediatricians' perspectives through a cross sectional survey. 1000 parents with children under 10 were randomly selected from a large database representing the Israeli population and phone-surveyed by a polling company. Due to a low response-rate (5.4%), there was an overrepresentation of married parents and underrepresentation of parents with primary or secondary education. 173 Pediatricians were recruited both at a medical conference and by a web-based questionnaire.
RESULTS
55% of the parents reported they were concerned with at least one psychosocial problem, yet less than 50% of them discussed these issues with the pediatrician. 59.9% of the parents did not perceive psychosocial problems as relevant to the pediatrician's role. Pediatricians with some previous training related to psychosocial issues were more likely to report on a lack of professional confidence (p = .037) and insufficient available resources (p = .022) as barriers to their involvement, while pediatricians who had no training were more likely to report on the parents' perception of their role as the barrier to involvement (p = .035).
CONCLUSIONS
Parents tend to avoid the discussion of psychosocial concerns in pediatric settings due to their perception that it's irrelevant to the pediatrician's role. Trained pediatricians feel unconfident in their ability to manage psychosocial issues and report on a lack of suitable resources. These findings suggest current pediatric mental-health training is insufficient to equip pediatricians with the knowledge and skills required to their involvement in psychosocial problems, and imply necessary changes to environment of community-based pediatrics. In order to change the practice of pediatricians in the community to enable them to address a variety of psychological issues, appropriate training is needed, through all stages of the pediatrician's professional life, including medical school, pediatric residency and continuous medical education.
Topics: Child; Cross-Sectional Studies; Humans; Israel; Parents; Pediatricians; Primary Health Care
PubMed: 35927695
DOI: 10.1186/s13584-022-00537-6 -
Pediatric Annals Nov 2017Urologic and gynecologic issues are common in a pediatric primary care office. This article focuses on the evaluation and management of a few common diagnoses in infants...
Urologic and gynecologic issues are common in a pediatric primary care office. This article focuses on the evaluation and management of a few common diagnoses in infants and young children: fetal hydronephrosis, labial adhesions, physiologic phimosis, and hydrocele. This article can help pediatricians decide when these common issues can be managed in the primary care office and when they need subspecialty guidance. [Pediatr Ann. 2017;46(11):e397-e399.].
Topics: Child; Female; Genital Diseases, Female; Humans; Infant; Pediatricians; Primary Health Care; Urologic Diseases
PubMed: 29131917
DOI: 10.3928/19382359-20171018-03 -
Pediatrics International : Official... Jul 2019A child's death affects not only family members but also the health-care professionals involved in patient care. The education system for bereavement care in Japan,...
BACKGROUND
A child's death affects not only family members but also the health-care professionals involved in patient care. The education system for bereavement care in Japan, however, is not set up in a systematic way, and the care provided is based on the individual experience of the health-care professional. The aim of this study was to investigate pediatrician awareness of and actual circumstances involved in bereavement care in Japan.
METHODS
A qualitative descriptive study was conducted at four facilities in Japan. Data collected using semi-structured interviews of 11 pediatricians were assessed using inductive qualitative analysis.
RESULTS
Pediatrician recognition of the elements of bereavement care was categorized as follows: (i) developing relationships with families before a child's death is important in bereavement care; (ii) after the child dies, family involvement is left to the doctor's discretion; (iii) coping with a child's death myself through past experience is essential; (iv) doctors involved in a child's death also experience mental burden; and (v) a system for the family's bereavement care must be established. Two categories were established according to actual circumstances involved in bereavement care: (i) attention must be given to the emotions of the families who lost a child; and (ii) doctor involvement with bereaved families depends on doctor awareness and expertise.
CONCLUSION
Japanese pediatricians provided bereavement care to families who lost their children in a non-systematic manner. This is necessitates improvement of the self-care of health-care professionals with regard to grief by improving bereavement care-related education. Additionally, health-care professionals must be trained, and a national-level provision system must be established to provide high-quality bereavement care to families who lose a child.
Topics: Adult; Attitude of Health Personnel; Awareness; Bereavement; Child; Clinical Competence; Family; Female; Hospice Care; Humans; Interviews as Topic; Japan; Male; Middle Aged; Pediatricians; Pediatrics; Practice Patterns, Physicians'; Professional-Family Relations; Qualitative Research
PubMed: 31102485
DOI: 10.1111/ped.13891 -
Anales de Pediatria Oct 2019
Topics: Humans; Infant; Infant Death; Infant Mortality; Pediatricians
PubMed: 31477434
DOI: 10.1016/j.anpedi.2019.08.001 -
Academic Pediatrics Aug 2021
Topics: Humans; Parenting; Pediatricians
PubMed: 34022427
DOI: 10.1016/j.acap.2021.05.014 -
Pediatrics Jul 2018A pediatric prenatal visit during the third trimester is recommended for all expectant families as an important first step in establishing a child's medical home, as...
A pediatric prenatal visit during the third trimester is recommended for all expectant families as an important first step in establishing a child's medical home, as recommended by As advocates for children and their families, pediatricians can support and guide expectant parents in the prenatal period. Prenatal visits allow general pediatricians to establish a supportive and trusting relationship with both parents, gather basic information from expectant parents, offer information and advice regarding the infant, and may identify psychosocial risks early and high-risk conditions that may require special care. There are several possible formats for this first visit. The one used depends on the experience and preference of the parents, the style of the pediatrician's practice, and pragmatic issues of payment.
Topics: Education, Nonprofessional; Female; Humans; Infant Care; Infant, Newborn; Parenting; Parents; Pediatricians; Physician's Role; Practice Guidelines as Topic; Pregnancy; Prenatal Care; Professional-Family Relations
PubMed: 29941679
DOI: 10.1542/peds.2018-1218 -
Paediatric Respiratory Reviews Mar 2022The legal profession depends on expert witnesses, and indeed the first time an English Court relied on an expert medical witness was in the 14th century. Asking a... (Review)
Review
The legal profession depends on expert witnesses, and indeed the first time an English Court relied on an expert medical witness was in the 14th century. Asking a specialist to comment on the standard of professional practice expected in their own specialty was first introduced in a 1767 case [1]. This article draws on 20 years of experience in medicolegal work relating to paediatric respiratory medicine. It highlights some of the legal principles that lie behind an expert opinion and what constitutes clinical negligence. It aims to set out lessons for medicolegal experts and clinicians, but also offers some advice to lawyers and parents. Finally, it illustrates some issues that arise more commonly in paediatric respiratory practice.
Topics: Child; Expert Testimony; Humans; Malpractice; Pediatricians
PubMed: 29108867
DOI: 10.1016/j.prrv.2017.09.001 -
Hospital Pediatrics Jun 2022
Topics: Faculty; Humans; Patient Advocacy; Pediatricians
PubMed: 35543032
DOI: 10.1542/hpeds.2022-006630 -
Indian Pediatrics Oct 2022
Topics: Child; Humans; Pediatricians; Pneumonia; Emergency Service, Hospital
PubMed: 36263497
DOI: No ID Found