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Cited by 69Adolescent and Pediatric HealthcarePrimary Care and Health OutcomesChild and Adolescent Health

Community Physician's Role in Case Management of Children With Chronic Illnesses

Liptak, Gregory S., Revell, Gail M.·1989·Pediatrics
DOI 10.1542/peds.84.3.465
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Abstract

There is general agreement that case management should be provided to children with chronic illnesses, yet it is not clear who should provide this service. A survey of physicians and parents of children with chronic illnesses was conducted to evaluate the practice and views of pediatricians and compare their assessments with those of parents. Surveys were mailed to 360 physicians and 519 families with response rates of 39% and 63%, respectively. The majority of physicians (74%) thought that the primary care physician should provide case management. When compared with parents, physicians underestimated the parental need for information about the child's diagnosis (8% vs 52%, P < .001), treatments (3% vs 54%, P < .01), and prognosis (30% vs 78%, P < .01). They also overestimated parental needs for information regarding financial aid (70% vs 58%, P < .01), vocations (78% vs 54%, P < .01), and insurance (62% vs 51%, P < .05). Four services ranked by need by parents in the top 10 were not ranked in the top 10 by physicians. Rural physicians noted that services were more difficult to obtain than did those in nonrural areas. The physicians surveyed made several recommendations for steps that could be implemented to facilitate their role as case manageers. If primary care physicians are to be effective case managers, alterations in the current system of care will be required including continuing education related to chronic illness, information about community resources, reimbursement for the time required to perform case management, and better communication between physician and parents.

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  • Families and physicians often have different expectations about how families can best be assisted.

    “Families and physicians often have different expectations about how families can best be assisted [63].”

    From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [63]

  • Families of children with chronic or complex conditions report multiple unmet needs on information and physician collaboration, specifically on community services, condition understanding, and networking.

    “Families of children with chronic or complex conditions report multiple unmet needs on information and physician collaboration [9, 10], specifically on community services, condition understanding, and networking [63, 64].”

    From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [63]

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Authors
Liptak, G. S., & Revell, G. M.
Affiliations
University of Rochester Medicine (US)
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
1989-09-01
Volume
84
Issue
3
Pages
465-471
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.84.3.465
OpenAlex
W1493806491
Cited by
69
References
0
Citations by year
2024: 1 · 2022: 1 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 2 · 2013: 1 · 2012: 3
FWCI
7.47
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords
case management, children with chronic illness, primary care physicians, parent-physician communication, parental information needs, urban-rural differences, community resources
MeSH terms
Attitude, Attitude of Health Personnel, Child, Chronic Disease, Community Health Centers, Community Medicine, Comprehensive Health Care, Delivery of Health Care, Family Practice, Health Services Accessibility, Health Services Needs and Demand, Humans, Parents, Pediatrics, Physician's Role, Physicians, Family, Role, Rural Population

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