Published online June 29, 2009
PEDIATRICS Vol. 124 No. 1 July 2009, pp. e37-e43 (doi:10.1542/peds.2008-3385)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Google Scholar
Right arrow Articles by Bergman, D. A.
Right arrow Articles by Rahm, A. K.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bergman, D. A.
Right arrow Articles by Rahm, A. K.
Related Collections
Right arrow Office Practice
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

ARTICLE

The Use of Internet-Based Technology to Tailor Well-Child Care Encounters

David Aaron Bergman, MDa, Arne Beck, PhDb and Alanna Kulchak Rahm, MSb

a Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California
b Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado

OBJECTIVE: The goal was to evaluate the feasibility and acceptance of a new model for well-child care (WCC) in a large health maintenance organization.

METHODS: We designed a new model of WCC that engages families in Internet-based developmental and behavioral screening, allows for review of the results before the visit, and allows for selection of the appropriate visit type (e-visit, e-visit with brief provider visit, or extended encounter). The new model was pilot-tested in 2 practices within a large health maintenance organization. Seven providers and 70 parents participated in the study. Parents and providers were surveyed regarding their experience and satisfaction with the encounter.

RESULTS: Seventy-five percent of parents thought that the online previsit assessment improved or very much improved the WCC visit. However, 12% of parents found the online assessment somewhat or very difficult to use. All of the parents found the e-visit or the e-visit with brief provider visit acceptable or very acceptable, compared with a standard WCC visit. All 7 providers thought that use of the new model helped focus the visit and that they would continue or definitely continue to use the model.

CONCLUSIONS: We demonstrated the feasibility of a new model of WCC that engaged parents in previsit assessment and used alternative visit types to tailor care to the needs of the family. Future research will be needed to examine the impact of this model on important WCC outcomes.

Key Words: preventive services • child health services • systems analysis

Abbreviations: WCC—well-child care • CSHCN—children with special health care needs • HMO—health maintenance organization • CHADIS—Child Health and Development Interactive System

Accepted Feb 24, 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JWatch PediatricsHome page
Modifying Well-Child Visits Based on Biopsychosocial Risk
Journal Watch Pediatrics and Adolescent Medicine, August 5, 2009; 2009(805): 6 - 6.
[Full Text]