Articles: pediatrics.
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Arch Pediat Adol Med · May 1996
Randomized Controlled Trial Clinical TrialEducational interventions to alter pediatric emergency department utilization patterns.
To test the hypothesis that educating parents about use of their primary care provider and providing information about common pediatric illnesses will reduce visits to the pediatric emergency department (PED). ⋯ A one-time educational intervention in the PED does not alter long-term emergency department utilization habits. More extensive education and greater availability of primary care providers may be needed to decrease use of the PED for minor illness.
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Arch Pediat Adol Med · Aug 1995
Case Reports Randomized Controlled Trial Comparative Study Clinical TrialPractice variations among pediatricians and family physicians in the management of otitis media.
To determine theoretical practice patterns and Medicaid practices in the management of persistent and recurrent otitis media by family physicians and pediatricians in Colorado. ⋯ The findings of this survey document the wide variation in practice patterns for treating children with persistent otitis media and children with recurrent otitis media in Colorado.
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Randomized Controlled Trial Clinical Trial
The effect of a medical journal club on residents' knowledge of clinical epidemiology and biostatistics.
We performed a prospective controlled trial of a monthly journal club to determine if it would increase pediatric residents' knowledge of clinical epidemiology and biostatistics. ⋯ A more intensive and more structured approach is needed to effectively teach clinical epidemiology and biostatistics to residents.
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Randomized Controlled Trial Comparative Study Clinical Trial
Increasing patient knowledge, satisfaction, and involvement: randomized trial of a communication intervention.
A brief educational intervention to promote effective communication between physicians, children, and parents during pediatric office visits was designed and tested. A randomized clinical trial involving 141 children (5- to 15-year-olds) tested the effectiveness of the intervention to improve the process and outcome of medical care. The intervention was contained in three brief videotapes (one each for parents, physicians, and patients) and in accompanying written materials. ⋯ Visit outcomes, assessed with standardized instruments and interviews, included children's rapport with physicians, children's anxiety, children's preference for an active health role, children's recall of information, parents' satisfaction with the medical visit, and physician satisfaction. Results indicated that physicians in the intervention group, compared with their counterparts in the control group, more often included children in discussions of medical recommendations (50% vs 29%, t = 2.39, P less than .05); that children in the intervention group, compared with control children, recalled more medication recommendations (77% vs 47%, P less than .01) and reported greater satisfaction and preference for an active health role; and that the intervention and control groups did not differ in parent satisfaction, physician satisfaction, or child anxiety. The results suggest that a brief educational intervention administered during waiting room time can positively impact physician-child rapport and children's preference for an active role in health and their acquisition of medical information.