PEDIATRICS Vol. 61 No. 3 March 1978, pp. 389-397
This Article
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
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 arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mclnerny, T. K.
Right arrow Articles by Sutherland, S. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mclnerny, T. K.
Right arrow Articles by Sutherland, S. A.

Primary Pediatric Care in One Community

Thomas K. Mclnerny M.D.1, Klaus J. Roghmann Ph.D.1, and Sydney A. Sutherland M.A.1

1 Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York

Primary pediatric practice in one community was studied by using a household interview survey, a pediatrician mail questionnaire, and an ambulatory care survey of nine practices reporting on all visits over a four-week period. The results for the study year 1975 are compared with those for 1971 and 1967.

Pediatricians provided an ever-increasing proportion of ambulatory care. Of all the children who had a regular physician in 1967, only 47% had a pediatrician; by 1975, this proportion had increased to 74%. Well-child care continues to be the largest diagnostic category (30%), followed by treatment for upper respiratory tract infections (24%), otitis media (14%), and lower respiratory tract infections (6%). Variations by practice and patient characteristics are examined.

If the observed changes indicate a nationwide trend, a larger number of pediatricians will be needed to cover their growing share in primary care for children. Working in multiple settings and delegating part of the work load to nurse practitioners have helped to meet the growing demand.

Submitted on April 18, 1977
Accepted on April 15, 1977




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
G. F. Hayden
Acute Suppurative Otitis Media in Children: Diversity of Clinical Diagnostic Criteria
Clinical Pediatrics, February 1, 1981; 20(2): 99 - 104.
[Abstract] [PDF]