Paediatricians provide higher quality care to children and adolescents in primary care: A systematic review.

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Clinical Guidelines
Authored By
Aparicio Rodrigo M, Ruiz Canela J, Buñuel Álvarez JC, García Vera C, Esparza Olcina MJ, Barroso Espadero D, González Rodríguez P, Juanes Toledo B, Martínez Rubio V, Ortega Páez E
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Interests
Pediatric Medicine
Internal/Family Medicine
Speciality
Pediatric Medicine
Internal/Family Medicine
Book Detail
volume
109
ISSN
1651-2227
No. of pages
19
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ISSN
1651-2227 ; Electronic
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true
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Additional Info
["Aparicio Rodrigo M, Ruiz Canela J, Bu\u00f1uel \u00c1lvarez JC, Garc\u00eda Vera C, Esparza Olcina MJ, Barroso Espadero D, Gonz\u00e1lez Rodr\u00edguez P, Juanes Toledo B, Mart\u00ednez Rubio V, Ortega P\u00e1ez E","Publisher: Wiley-Blackwell Country of Publication: Norway NLM ID: 9205968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2227 (Electronic) Linking ISSN: 08035253 NLM ISO Abbreviation: Acta Paediatr Subsets: MEDLINE","Journal Article; Systematic Review","2020-10-01","Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2020 Oct; Vol. 109 (10), pp. 1989-2007. Date of Electronic Publication: 2020 May 25.","English","1651-2227","Primary Health Care* , Quality of Health Care*, Adolescent ; Child ; Europe ; Humans ; Pediatricians ; Vaccination","Adolescent, Child, Europe, Humans, Pediatricians, Vaccination, Primary Health Care, Quality of Health Care","Acta paediatrica (Oslo, Norway : 1992)","109"]
Description
Aim: The number of primary care paediatricians is decreasing in Europe without a justifiable reason. We aimed to compare the clinical practice of paediatricians and family doctors attending children and adolescents in primary care.<br />Methods: MEDLINE, Embase, CENTRAL, TRIP and Google Scholar were searched from December 2008 to February 2018. No language or study design restrictions were applied. Three reviewers assessed eligibility of the studies. Seven pairs of reviewers performed the data extraction and assessed the methodological quality independently. Discrepancies were resolved by consensus.<br />Results: Fifty-four, out of 1150 studies preselected, were included. We found that paediatricians show more appropriate pharmacology prescription patterns for the illness being treated; they achieve higher vaccination rates and have better knowledge of vaccines and fewer doubts about vaccine safety; their knowledge and implementation of different screening tests are better; they prescribe psychoactive drugs more cautiously and more in line with current practice guidelines; their evaluation and treatment of obesity and lipid disorders follow criteria more consistently with current clinical practice guidelines; and they perform fewer diagnostic test, show a more suitable use of the test and request fewer referrals to specialists.<br />Conclusion: According to published data, in developed countries, paediatricians provide higher quality care to children than family doctors.<br /> (© 2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)
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