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40
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Text
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Citation List Month
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URL Address
<a href="http://doi.org/10.1001/archpedi.154.2.173" target="_blank" rel="noreferrer">http://doi.org/10.1001/archpedi.154.2.173</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Preventive services in a health maintenance organization: how well do pediatricians screen and educate adolescent patients?
Publisher
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Archives Of Pediatrics & Adolescent Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2000
Subject
The topic of the resource
Humans; Data Collection; California; Adolescent Behavior; adolescent; Adolescent Transitions; Risk-Taking; Adolescent Health Services/statistics & numerical data; Health Maintenance Organizations; Patient Education as Topic/statistics & numerical data; Pediatrics/statistics & numerical data; Physician's Practice Patterns/statistics & numerical data; Preventive Health Services/statistics & numerical data
Creator
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Halpern-Felsher BL; Ozer EM; Millstein SG; Wibbelsman CJ; Fuster CD; Elster AB; Irwin CE
Description
An account of the resource
OBJECTIVE: To determine whether pediatricians in managed care settings adhere to national guidelines concerning the provision of clinical preventive services. DESIGN: Surveys were mailed between September 1996 and April 1997 to all pediatricians practicing in a California group-model health maintenance organization. The survey asked pediatricians about their screening and education practices on 34 recommended services and the actions taken with adolescent patients who have engaged in risk behavior. RESULTS: The response rate was 66.2% (N = 366). Pediatricians, on average, screened 92% of their adolescent patients for immunization status and blood pressure; 85% for school performance; 60% to 80% for obesity, sexual intercourse, cigarette use, alcohol use, drug use, and seat belt and helmet use; 30% to 47% for access to handguns, suicide, eating disorders, depression, and driving after drinking alcohol; fewer than 20% for use of smokeless tobacco, sexual orientation, sexual and physical abuse, and riding a bike or swimming after drinking alcohol; and 26% to 41% for close friends' engagement in risk behavior. Pediatricians' assessment and education with adolescent patients who screened positive for risk behavior was particularly low. Female physicians, physicians who saw a greater proportion of older adolescents, and recent medical school graduates were more likely to provide preventive services. CONCLUSIONS: Pediatricians in this health maintenance organization provide preventive services to adolescent patients at rates below recommendations but at rates greater than physicians in other practice settings. Improvement is especially needed in the areas that contribute most to adolescent mortality and for patients who screen positive for a risk behavior.
2000
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/archpedi.154.2.173" target="_blank" rel="noreferrer">10.1001/archpedi.154.2.173</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2000
Adolescent
Adolescent Behavior
Adolescent Health Services/statistics & numerical data
Adolescent Transitions
Archives Of Pediatrics & Adolescent Medicine
Backlog
California
Data Collection
Elster AB
Fuster CD
Halpern-Felsher BL
Health Maintenance Organizations
Humans
Irwin CE
Journal Article
Millstein SG
Ozer EM
Patient Education as Topic/statistics & numerical data
Pediatrics/statistics & numerical data
Physician's Practice Patterns/statistics & numerical data
Preventive Health Services/statistics & numerical data
Risk-Taking
Wibbelsman CJ
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1001/jama.1997.03550120089044" target="_blank" rel="noreferrer">http://doi.org/10.1001/jama.1997.03550120089044</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Influence of physician confidentiality assurances on adolescents' willingness to disclose information and seek future health care. A randomized controlled trial
Publisher
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Jama
Date
A point or period of time associated with an event in the lifecycle of the resource
1997
Subject
The topic of the resource
Female; Humans; Male; Physician-Patient Relations; Truth Disclosure; California; Analysis of Variance; Disclosure; Regression Analysis; adolescent; Empirical Approach; Professional Patient Relationship; Adolescent Transitions; Adolescent Health Services/utilization; Confidentiality
Creator
An entity primarily responsible for making the resource
Ford CA; Millstein SG; Halpern-Felsher BL; Irwin CE
Description
An account of the resource
CONTEXT: Adolescents' concerns about privacy in clinical settings decrease their willingness to seek health care for sensitive problems and may inhibit their communication with physicians. OBJECTIVE: To investigate the influence of physicians' assurances of confidentiality on adolescents' willingness to disclose information and seek future health care. DESIGN: Randomized controlled trial. SETTING: Three suburban public high schools in California. PARTICIPANTS: The 562 participating adolescents represented 92% of students in mandatory classes. INTERVENTION: After random assignment to 1 of 3 groups, the adolescents listened to a standardized audiotape depiction of an office visit during which they heard a physician who assured unconditional confidentiality, a physician who assured conditional confidentiality, or a physician who did not mention confidentiality. MAIN OUTCOME MEASURES: Adolescents' willingness to disclose general information, willingness to disclose information about sensitive topics, intended honesty, and likelihood of return visits to the physician depicted in the scenario were assessed by anonymous written questionnaire. RESULTS: Assurances of confidentiality increased the number of adolescents willing to disclose sensitive information about sexuality, substance use, and mental health from 39% (68/175) to 46.5% (178/383) (beta=.10, P=.02) and increased the number willing to seek future health care from 53% (93/175) to 67% (259/386) (beta=.17, P
1997
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/jama.1997.03550120089044" target="_blank" rel="noreferrer">10.1001/jama.1997.03550120089044</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1997
Adolescent
Adolescent Health Services/utilization
Adolescent Transitions
Analysis of Variance
Backlog
California
Confidentiality
Disclosure
Empirical Approach
Female
Ford CA
Halpern-Felsher BL
Humans
Irwin CE
JAMA
Journal Article
Male
Millstein SG
Physician-patient Relations
Professional Patient Relationship
Regression Analysis
Truth Disclosure