12/7/2023 0 Comments Aap well child visits scheduleKelly Kelleher, MD, vice president of Community Health at Nationwide Children’s, acknowledged the benefits of screening but called the study he was the senior author on “the most pessimistic one we’ve published” because it showed that inconsistent screening with inadequate follow up quickly takes away any benefit. The supplement came from a meeting organized by the National Institutes of Health’s Office of Disease Prevention to identify gaps in research needed to help clinicians prioritize the delivery of screening services to evaluate the long-term impact of screening on health and development. Among the most recent efforts, this summer clinicians and researchers from Nationwide Children’s Hospital helped lead the publication of a multiple-study supplement in Pediatrics, collectively called “Methods for Assessing the Impact of Screening in Childhood on Health Outcomes.” There are no easy answers, but over the last several years, a number of organizations and physicians have wrestled with these questions. It’s a common concern among primary care providers, and it’s often paired with this one: “If a child does screen positive for a condition, how can I connect them to the services they need?” How am I supposed to find the time to do all of this if there are six kids in my waiting room with ear infections?” Including me, there are two full-time people in my office. ![]() “I’m doing the best that I can, but I’m the nurse and the doctor. “I feel guilty when I look at this list,” says Jill Neff, DO, the only independent pediatrician in rural Jackson County, Ohio, and someone who is well known for her commitment to her patients. The number of evidence-based screenings can be daunting to consider and feel impossible to complete. ![]() ![]() During these brief visits, pediatricians need to address a family’s concerns, provide counseling, and, depending on the visit, screen for many different conditions, such as visual impairment, obesity, hypertension, elevated lipid levels, or depression. There are 32 well-child primary care visits recommended by the American Academy of Pediatrics in its Bright Futures “Periodicity Schedule.” The first is prenatal, the last happens at 21 years old. How do we prioritize the limited time we have with patients and families? Screenings are an important part of preventive care, but the growing list of recommendations is daunting.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |