کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5716891 | 1411174 | 2017 | 8 صفحه PDF | دانلود رایگان |
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 â¥50% of patients with MHC. Weighted univariate, bivariate, and multivariable analyses were performed.ResultsOf the pediatricians who reported comanaging â¥50% of their patients with MHC, logistic regression analysis showed that pediatricians who completed â¥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 â¥50% of patients, suggesting that enhanced MH training among pediatricians could increase the comanagement of children with MHC.
Journal: Academic Pediatrics - Volume 17, Issue 5, July 2017, Pages 479-486