Survey compares adult and pediatric chronic condition management in primary care practices
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (Lucile Packard Foundation for Children's Health)
- Author(s):
- Schor, Edward L., author Turk-Bicakci, Lori, author Henry, Holly, author
- Contributor(s):
- Lucile Packard Foundation for Children's Health, issuing body.
- Publication:
- Palo Alto, CA : Lucile Packard Foundation for Children's Health, February 2019
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Child Health Services Chronic Disease -- therapy Primary Health Care Adult Child Health Care Surveys Health Services Accessibility Internal Medicine Medical Informatics Patient Satisfaction Pediatrics Practice Patterns, Physicians' Humans United States
- Genre(s):
- Comparative Study Technical Report
- Abstract:
- Care management is a highly valued aspect of care for patients with chronic conditions, and its absence can create or exacerbate health problems. Though most commonly associated with adults, chronic care management is becoming increasingly important in pediatric practices as the number of children with complex chronic conditions continues to grow. Pediatric practices traditionally have been designed and staffed to provide acute and preventive care. Adult internal medicine practices see a preponderance of patients with chronic health problems, and presumably have designed their practices to serve this population well. This study compared data from a survey of primary care pediatricians and adult internists who care for patients with multiple chronic conditions. The data cover access to care, care coordination, health information technology, quality improvement, and satisfaction with patient care in their practices. Compared with pediatric patients, internists' patients had more chronic illnesses and were much more likely to require home and palliative care; more internists than pediatricians reported that their practices were prepared to manage such patients. Pediatric practices reported greater ability to offer same-day appointments, but neither pediatric nor adult practices reported differences in offering after-hours care or using email to communicate with their patients. Both types of practitioners reported frequently coordinating care with social services, but internists had more patients requiring this service and reported being better prepared to provide it. Data from both types of practices indicated substantial room for improvement in their ability to provide high quality, comprehensive chronic care management of medical conditions.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (10 pages)).
- NLM Unique ID:
- 101753425 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101753425