Changes in the proportion and volume of care provided to children by generalists and subspecialists

Journal of Pediatrics

Volumn 146, Issue 1, 2005, Pages 14-19

  Freed, Gary L ^a,b   Nahra, Tammie A ^a   Venus, Patricia J ^a   Schech, Stephanie D ^a   Wheeler, John R C ^a  

^a Department of Obstetrics   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ASTHMA; CONSTIPATION; CONSULTATION; CONTROLLED STUDY; DATA ANALYSIS; HEADACHE; HEALTH CARE; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HEALTH PRACTITIONER; HEART MURMUR; HUMAN; INTERMETHOD COMPARISON; INTERNATIONAL CLASSIFICATION OF DISEASES; LOGISTIC REGRESSION ANALYSIS; PEDIATRICIAN; PHYSICIAN; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; UNITED STATES;

ASTHMA; CHILD; CHILD HEALTH SERVICES; CONSTIPATION; FAMILY PRACTICE; HEADACHE; HEART MURMURS; HUMANS; PEDIATRICS; REFERRAL AND CONSULTATION; UNITED STATES;

EID: 11844299009     PISSN: 00223476     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpeds.2004.08.054     Document Type: Article

References (19)

1. J.J. Stoddard, W.L. Cull, E.A. Jewett, S.E. Brotherton, H.J. Mulvey, and E.R. Alden Providing pediatric subspecialty care: a workforce analysis. AAP Committee on Pediatric Workforce Subcommittee on Subspecialty Workforce Pediatrics 106 2000 1325 1333
2. K. Donelan, R.J. Blendon, G.D. Lundberg, D.R. Calkins, J.P. Newhouse, and L.L. Leape The new medical marketplace: physicians' views Health Aff (Millwood) 16 1997 139 148
3. S.A. Schroeder How can we tell whether there are too many or too few physicians? the case for benchmarking JAMA 276 1996 1841 1843
4. Landro L. As specialists grow scarcer, families turn to telemedicine. Wall Street Journal Online. Available at: http://online.wsj.com/article/0... SB1043873402350962704,00.html.
5. R.A. Cooper There's a shortage of specialists: is anyone listening? Acad Med 77 2002 761 766
6. M. Glabman Too many patients, too few physicians Manag Care 10 2001 20 22 30-2
7. P.J. McClimon, and T.N. Hansen Why are children's hospitals so busy? J Pediatr 142 2003 219 220
8. S.C. Tough, C. Newburn-Cook, D.W. Johnston, L.W. Svenson, S. Rose, and J. Belik Delayed childbearing and its impact on population rate changes in lower birth weight, multiple birth, and preterm delivery Pediatrics 109 2002 399 403
9. C.B. Forrest, G.B. Glade, A.E. Baker, A.B. Bocian, M. Kang, and B. Starfield The pediatric primary-specialty care interface: how pediatricians refer children and adolescents to specialty care Arch Pediatr Adolesc Med 153 1999 705 714
10. C.B. Forrest, A. Majeed, J.P. Weiner, K. Carroll, and A.B. Bindman Comparison of specialty referral rates in the United Kingdom and the United States: retrospective cohort analysis BMJ 325 2002 370 371
11. K. Kuhlthau, T.G. Ferris, A.C. Beal, S.L. Gortmaker, and J.M. Perrin Who cares for Medicaid-enrolled children with chronic conditions? Pediatrics 108 2001 906 912
12. M. Cabana, D. Bruckman, J.L. Rushton, S.L. Bratton, and L. Green Receipt of asthma subspecialty care by children in a managed care organization Amb Pediatr 2 2002 456 461
13. National Heart, Lung, and Blood Institute. Clinical practice guidelines. Available at www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm. Accessed on Sept. 24, 2004.
14. C.B. Forrest, and E.M. Whelan Primary care safety-net delivery sites in the United States: a comparison of community health centers, hospital outpatient departments, and physicians' offices JAMA 284 2000 2077 2083
15. C.B. Forrest, and R.J. Reid Prevalence of health problems and primary care physicians' specialty referral decisions J Fam Pract 50 2001 427 432
16. J.H. Senf, D. Campos-Outcalt, and R.M. Kutob Lessons not learned from the generalist initiatives Acad Med 77 2002 774 775
17. J.D. Lurie, D.C. Goodman, and J.E. Wennberg Benchmarking the future generalist workforce Eff Clin Pract 5 2002 58 66
18. G.L. Freed, T.A. Nahra, and J.R.C. Wheeler Which physicians are providing health care to America's children? trends and changes over the last 20 years Arch Pediatr Adol Med 158 2004 22 26
19. S. Norton, and S. Zuckerman Trends in Medicaid physician fees, 1993-1998 Health Aff 19 2000 222 232