1 40 1 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/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 A name given to the resource Preventive services in a health maintenance organization: how well do pediatricians screen and educate adolescent patients? Publisher An entity responsible for making the resource available 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 An entity primarily responsible for making the resource 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