کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5716891 1411174 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pediatric PracticeWhich Pediatricians Comanage Mental Health Conditions?
ترجمه فارسی عنوان
تمرین اطفال کدام متخصصان اطفال در شرایط سلامت روانی قرار می گیرند؟
کلمات کلیدی
مشکلات رفتاری، هماهنگی بهداشت روانی، کودکان مبتلا به اختلالات رفتاری، مشکلات تحصیلی کودکان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectiveGiven the prevalence of mental health (MH) conditions (MHC) in children, pediatricians should initiate treatment alone or in collaboration with a specialist for children with MHC. However, the majority of pediatricians do not manage or comanage common MHC even with an on-site MH provider. We examined which physician, practice, and training characteristics are associated with pediatricians' comanaging at least half of their patients with MHC.MethodsWe analyzed responses of general pediatricians (n = 305) from the American Academy of Pediatrics 2013 Periodic Survey. Practice characteristics include presence of an on-site MH provider and perceived access to services. Independent variables included sociodemographics, training experiences, and interest in further training. The outcome was comanagement of ≥50% of patients with MHC. Weighted univariate, bivariate, and multivariable analyses were performed.ResultsOf the pediatricians who reported comanaging ≥50% of their patients with MHC, logistic regression analysis showed that pediatricians who completed ≥4 weeks of developmental behavioral pediatrics training had 1.8 increased odds (95% confidence interval 1.06, 3.08, P = .03) of comanagement, those very interested in further education in managing/treating MHC had 2.75 increased odds (95% confidence interval 1.63, 3.08, P < .001), and those with more training in MH treatment with medications had 1.4 increased odds (95% confidence interval 1.12, 1.75, P = .004) of comanaging children with MHC.ConclusionsSpecific educational experiences and interest in further education in managing or treating MHC were significantly associated with comanaging ≥50% of patients, suggesting that enhanced MH training among pediatricians could increase the comanagement of children with MHC.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Academic Pediatrics - Volume 17, Issue 5, July 2017, Pages 479-486
نویسندگان
, , , , , , , , , , , ,