Do Subspecialists Ask About and Refer Families with Psychosocial Concerns? A Comparison with General Pediatricians View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-01

AUTHORS

Cori Green, Ruth E. K. Stein, Amy Storfer-Isser, Andrew S. Garner, Bonnie D. Kerker, Moira Szilagyi, Kimberly E. Hoagwood, Sarah M. Horwitz

ABSTRACT

Objectives Calls for pediatricians to tend to children's psychosocial concerns have existed for decades because they are known to negatively impact child health. Children with chronic illnesses frequently have child- and family-level psychosocial concerns that complicate the care provided by their pediatric subspecialists. This study compares pediatricians who exclusively practice general pediatrics with subspecialists regarding their inquiring/screening and referring for psychosocial concerns. Physician and practice characteristics associated with these behaviors were examined. Methods We conducted a cross-sectional study using the 2013 American Academy of Pediatrics Periodic Survey of Fellows. Respondents included 304 pediatricians who exclusively practice general pediatrics and 147 subspecialists. The primary analysis compared the current practices of generalists vs. subspecialists with regard to inquiring/screening and referring children with 10 different psychosocial concerns. Covariates included socio-demographics, practice characteristics, and training experiences. Weighted univariate, bivariate and multivariable analyses were performed. Results Less than half of all pediatricians in the sample reported routinely inquiring/screening for most psychosocial concerns, and 2/3 of subspecialists failed to routinely inquire/screen for most of these conditions. Pediatricians who practice general pediatrics exclusively were more likely to inquire/screen (incident rate ratio (IRR) 1.41, p < .05) and refer (IRR 1.59, p < .001) for a greater number of psychosocial concerns than subspecialists, after adjusting for provider and practice characteristics. Having attended a child or adolescent mental health (MH) lecture/conference in the past 2 years was also related to inquiring/screening (IRR 1.24, p < .05). Conclusions Pediatricians infrequently inquire/screen and refer psychosocial concerns, with subspecialists addressing these concerns even less frequently. More... »

PAGES

61-71

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10995-018-2594-y

DOI

http://dx.doi.org/10.1007/s10995-018-2594-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105738077

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30030742


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Attitude of Health Personnel", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cross-Sectional Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Mental Disorders", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pediatricians", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Physicians", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Practice Patterns, Physicians'", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Referral and Consultation", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surveys and Questionnaires", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "United States", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "NewYork\u2013Presbyterian Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413734.6", 
          "name": [
            "General Academic Pediatrics, Weill Cornell Medical College/NewYork Presbyterian Hospital, New York, NY, USA", 
            "Department of Pediatrics, NewYork Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th Street, Box 139, 10065, New York, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Green", 
        "givenName": "Cori", 
        "id": "sg:person.016476462675.54", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016476462675.54"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Pediatrics, Albert Einstein College of Medicine/Children\u2019s Hospital at Montefiore, Bronx, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Stein", 
        "givenName": "Ruth E. K.", 
        "id": "sg:person.0766115574.09", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0766115574.09"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Statistical Research Consultants, Schaumburg, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Storfer-Isser", 
        "givenName": "Amy", 
        "id": "sg:person.01102344174.84", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01102344174.84"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Case Western Reserve University", 
          "id": "https://www.grid.ac/institutes/grid.67105.35", 
          "name": [
            "Case Western Reserve University, Cleveland, OH, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Garner", 
        "givenName": "Andrew S.", 
        "id": "sg:person.01204427757.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01204427757.27"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Nathan Kline Institute for Psychiatric Research", 
          "id": "https://www.grid.ac/institutes/grid.250263.0", 
          "name": [
            "New York University School of Medicine, New York, NY, USA", 
            "Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kerker", 
        "givenName": "Bonnie D.", 
        "id": "sg:person.01340553072.32", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01340553072.32"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of California Los Angeles", 
          "id": "https://www.grid.ac/institutes/grid.19006.3e", 
          "name": [
            "University of California at Los Angeles, Los Angeles, CA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Szilagyi", 
        "givenName": "Moira", 
        "id": "sg:person.01246777311.61", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01246777311.61"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "New York University", 
          "id": "https://www.grid.ac/institutes/grid.137628.9", 
          "name": [
            "New York University School of Medicine, New York, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hoagwood", 
        "givenName": "Kimberly E.", 
        "id": "sg:person.01264705774.99", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01264705774.99"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "New York University", 
          "id": "https://www.grid.ac/institutes/grid.137628.9", 
          "name": [
            "New York University School of Medicine, New York, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Horwitz", 
        "givenName": "Sarah M.", 
        "id": "sg:person.013646542072.13", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013646542072.13"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1001/archpedi.154.4.361", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001791649"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.cpem.2013.01.003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006646319"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2016.07.007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006964414"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2015.08.012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007065918"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpeds.2015.10.067", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011295637"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2004-2825b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011869205"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0749-3797(98)00017-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016482317"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2015.10.009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016670852"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2014-0594", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018002197"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpeds.2016.09.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018252786"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archpedi.1974.02110230091016", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021375724"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00004703-200302001-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025820786"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00004703-200302001-00001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025820786"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2015.08.002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028088074"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0009922813476572", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028670181"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0009922813476572", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028670181"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2015-3301", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028739470"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2014-2888", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030424507"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.digest1355", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030949229"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2016.11.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031818434"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/pedi.12191", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032579655"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2014-3274", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033125801"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dbp.0b013e318196b0de", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035233706"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dbp.0b013e318196b0de", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035233706"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2011-2662", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040028084"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0749-3797(00)00258-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048575858"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archpedi.1979.02130070045010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049679060"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2015.08.006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053366943"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.2014.0832", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067171498"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2006-0652", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067825198"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/pir.33-3-99", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067834233"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1076548128", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dbp.0000000000000383", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1079405932"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/dbp.0000000000000383", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1079405932"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1082143866", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.acap.2016.10.014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084055512"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.chc.2017.06.004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1090858107"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/jpepsy/jsy012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1101010213"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpeds.2018.06.044", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1105682764"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpeds.2018.06.044", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1105682764"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-01", 
    "datePublishedReg": "2019-01-01", 
    "description": "Objectives Calls for pediatricians to tend to children's psychosocial concerns have existed for decades because they are known to negatively impact child health. Children with chronic illnesses frequently have child- and family-level psychosocial concerns that complicate the care provided by their pediatric subspecialists. This study compares pediatricians who exclusively practice general pediatrics with subspecialists regarding their inquiring/screening and referring for psychosocial concerns. Physician and practice characteristics associated with these behaviors were examined. Methods We conducted a cross-sectional study using the 2013 American Academy of Pediatrics Periodic Survey of Fellows. Respondents included 304 pediatricians who exclusively practice general pediatrics and 147 subspecialists. The primary analysis compared the current practices of generalists vs. subspecialists with regard to inquiring/screening and referring children with 10 different psychosocial concerns. Covariates included socio-demographics, practice characteristics, and training experiences. Weighted univariate, bivariate and multivariable analyses were performed. Results Less than half of all pediatricians in the sample reported routinely inquiring/screening for most psychosocial concerns, and 2/3 of subspecialists failed to routinely inquire/screen for most of these conditions. Pediatricians who practice general pediatrics exclusively were more likely to inquire/screen (incident rate ratio (IRR) 1.41, p\u2009<\u2009.05) and refer (IRR 1.59, p\u2009<\u2009.001) for a greater number of psychosocial concerns than subspecialists, after adjusting for provider and practice characteristics. Having attended a child or adolescent mental health (MH) lecture/conference in the past 2\u00a0years was also related to inquiring/screening (IRR 1.24, p\u2009<\u2009.05). Conclusions Pediatricians infrequently inquire/screen and refer psychosocial concerns, with subspecialists addressing these concerns even less frequently.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s10995-018-2594-y", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.2439425", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1117494", 
        "issn": [
          "1092-7875", 
          "1573-6628"
        ], 
        "name": "Maternal and Child Health Journal", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "23"
      }
    ], 
    "name": "Do Subspecialists Ask About and Refer Families with Psychosocial Concerns? A Comparison with General Pediatricians", 
    "pagination": "61-71", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "92efe7ce2a65e7aff3ddbdec6fea446884d2313ae483a469257210787ba5166d"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30030742"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "9715672"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s10995-018-2594-y"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1105738077"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s10995-018-2594-y", 
      "https://app.dimensions.ai/details/publication/pub.1105738077"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T14:00", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000371_0000000371/records_130826_00000006.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs10995-018-2594-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s10995-018-2594-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s10995-018-2594-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s10995-018-2594-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s10995-018-2594-y'


 

This table displays all metadata directly associated to this object as RDF triples.

297 TRIPLES      21 PREDICATES      78 URIs      35 LITERALS      23 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s10995-018-2594-y schema:about N2a4ea1b9bf384d8f83f3f8c2745342ba
2 N2f2133bcf5474f778e2744d258cd2b6c
3 N53463acac81641db80672ba6598dafdd
4 N5a92fcb8b5534f0c9feb8cfe9bea8474
5 N63b5435dabee4751881d16679b2e70b7
6 N7cc5d1d337cb4e1499e9633f218c5cd1
7 N8067b81c66364901bfba9d71b9b4c988
8 N87a63cb1af6047d6810b23ef54911109
9 N92d48a04a20941b2b9abd2669cae68b9
10 N930789f33e92402ba218e81575508eb5
11 Nc5a2b2226da241809178af0ac9d62f60
12 Nd8b6bc93d59e45b6ac96f1038aa76e0b
13 Nef9dece706ee47d59f059ccc23f72175
14 Nf965691e7e454381ab89521f99236c01
15 anzsrc-for:11
16 anzsrc-for:1117
17 schema:author Nb919bd07505c4b6393aba44111fe28c2
18 schema:citation https://app.dimensions.ai/details/publication/pub.1076548128
19 https://app.dimensions.ai/details/publication/pub.1082143866
20 https://doi.org/10.1001/archpedi.154.4.361
21 https://doi.org/10.1001/archpedi.1974.02110230091016
22 https://doi.org/10.1001/archpedi.1979.02130070045010
23 https://doi.org/10.1016/j.acap.2015.08.002
24 https://doi.org/10.1016/j.acap.2015.08.006
25 https://doi.org/10.1016/j.acap.2015.08.012
26 https://doi.org/10.1016/j.acap.2015.10.009
27 https://doi.org/10.1016/j.acap.2016.07.007
28 https://doi.org/10.1016/j.acap.2016.10.014
29 https://doi.org/10.1016/j.acap.2016.11.013
30 https://doi.org/10.1016/j.chc.2017.06.004
31 https://doi.org/10.1016/j.cpem.2013.01.003
32 https://doi.org/10.1016/j.jpeds.2015.10.067
33 https://doi.org/10.1016/j.jpeds.2016.09.002
34 https://doi.org/10.1016/j.jpeds.2018.06.044
35 https://doi.org/10.1016/s0749-3797(00)00258-0
36 https://doi.org/10.1016/s0749-3797(98)00017-8
37 https://doi.org/10.1093/jpepsy/jsy012
38 https://doi.org/10.1097/00004703-200302001-00001
39 https://doi.org/10.1097/dbp.0000000000000383
40 https://doi.org/10.1097/dbp.0b013e318196b0de
41 https://doi.org/10.1111/pedi.12191
42 https://doi.org/10.1177/0009922813476572
43 https://doi.org/10.1377/hlthaff.2014.0832
44 https://doi.org/10.1542/peds.2004-2825b
45 https://doi.org/10.1542/peds.2006-0652
46 https://doi.org/10.1542/peds.2011-2662
47 https://doi.org/10.1542/peds.2014-0594
48 https://doi.org/10.1542/peds.2014-2888
49 https://doi.org/10.1542/peds.2014-3274
50 https://doi.org/10.1542/peds.2015-3301
51 https://doi.org/10.1542/peds.digest1355
52 https://doi.org/10.1542/pir.33-3-99
53 schema:datePublished 2019-01
54 schema:datePublishedReg 2019-01-01
55 schema:description Objectives Calls for pediatricians to tend to children's psychosocial concerns have existed for decades because they are known to negatively impact child health. Children with chronic illnesses frequently have child- and family-level psychosocial concerns that complicate the care provided by their pediatric subspecialists. This study compares pediatricians who exclusively practice general pediatrics with subspecialists regarding their inquiring/screening and referring for psychosocial concerns. Physician and practice characteristics associated with these behaviors were examined. Methods We conducted a cross-sectional study using the 2013 American Academy of Pediatrics Periodic Survey of Fellows. Respondents included 304 pediatricians who exclusively practice general pediatrics and 147 subspecialists. The primary analysis compared the current practices of generalists vs. subspecialists with regard to inquiring/screening and referring children with 10 different psychosocial concerns. Covariates included socio-demographics, practice characteristics, and training experiences. Weighted univariate, bivariate and multivariable analyses were performed. Results Less than half of all pediatricians in the sample reported routinely inquiring/screening for most psychosocial concerns, and 2/3 of subspecialists failed to routinely inquire/screen for most of these conditions. Pediatricians who practice general pediatrics exclusively were more likely to inquire/screen (incident rate ratio (IRR) 1.41, p < .05) and refer (IRR 1.59, p < .001) for a greater number of psychosocial concerns than subspecialists, after adjusting for provider and practice characteristics. Having attended a child or adolescent mental health (MH) lecture/conference in the past 2 years was also related to inquiring/screening (IRR 1.24, p < .05). Conclusions Pediatricians infrequently inquire/screen and refer psychosocial concerns, with subspecialists addressing these concerns even less frequently.
56 schema:genre research_article
57 schema:inLanguage en
58 schema:isAccessibleForFree false
59 schema:isPartOf Nb60668dfd7154356899e406e85673a50
60 Nf3f31527842c4a6982db67891b7b275e
61 sg:journal.1117494
62 schema:name Do Subspecialists Ask About and Refer Families with Psychosocial Concerns? A Comparison with General Pediatricians
63 schema:pagination 61-71
64 schema:productId N8cb4236ec0bf4faf9c960685b014ed13
65 N9e60a46fcdd14abc938752f46a648546
66 Nc5363690fcea4093862a6a4259bd91bb
67 Nd95aa6b4454c43beadae87ade4945138
68 Nedb013f77c85463fb3ab3a24e597dab5
69 schema:sameAs https://app.dimensions.ai/details/publication/pub.1105738077
70 https://doi.org/10.1007/s10995-018-2594-y
71 schema:sdDatePublished 2019-04-11T14:00
72 schema:sdLicense https://scigraph.springernature.com/explorer/license/
73 schema:sdPublisher Nd21a8d11d7244292a2e84df9b8d3bf53
74 schema:url https://link.springer.com/10.1007%2Fs10995-018-2594-y
75 sgo:license sg:explorer/license/
76 sgo:sdDataset articles
77 rdf:type schema:ScholarlyArticle
78 N08f431d87bff4a7a8eb612f060d2c2bd rdf:first sg:person.01246777311.61
79 rdf:rest N4aec097f1106469f81b12aec89eece97
80 N100c18dbf4714054850c32cf9ac4b70a rdf:first sg:person.0766115574.09
81 rdf:rest N6b05676a365f40f6b2fd2fd4d801b55b
82 N22eefc8f98044785af6a1ec53c0c7245 rdf:first sg:person.01340553072.32
83 rdf:rest N08f431d87bff4a7a8eb612f060d2c2bd
84 N28d7246c23894129ba0057d5890a878b rdf:first sg:person.01204427757.27
85 rdf:rest N22eefc8f98044785af6a1ec53c0c7245
86 N2a4ea1b9bf384d8f83f3f8c2745342ba schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
87 schema:name Referral and Consultation
88 rdf:type schema:DefinedTerm
89 N2f2133bcf5474f778e2744d258cd2b6c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
90 schema:name Surveys and Questionnaires
91 rdf:type schema:DefinedTerm
92 N3f0f00e9b44e41728aa50447c397a748 schema:name Statistical Research Consultants, Schaumburg, IL, USA
93 rdf:type schema:Organization
94 N4aec097f1106469f81b12aec89eece97 rdf:first sg:person.01264705774.99
95 rdf:rest Nc5ef5e8defb745ff96184ff5e7bb624f
96 N4d14005256cc4dde8eed9b37c5492a45 schema:name Pediatrics, Albert Einstein College of Medicine/Children’s Hospital at Montefiore, Bronx, NY, USA
97 rdf:type schema:Organization
98 N53463acac81641db80672ba6598dafdd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
99 schema:name Mental Disorders
100 rdf:type schema:DefinedTerm
101 N5a92fcb8b5534f0c9feb8cfe9bea8474 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
102 schema:name Adult
103 rdf:type schema:DefinedTerm
104 N63b5435dabee4751881d16679b2e70b7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
105 schema:name Middle Aged
106 rdf:type schema:DefinedTerm
107 N6b05676a365f40f6b2fd2fd4d801b55b rdf:first sg:person.01102344174.84
108 rdf:rest N28d7246c23894129ba0057d5890a878b
109 N7cc5d1d337cb4e1499e9633f218c5cd1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
110 schema:name Pediatricians
111 rdf:type schema:DefinedTerm
112 N8067b81c66364901bfba9d71b9b4c988 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
113 schema:name United States
114 rdf:type schema:DefinedTerm
115 N87a63cb1af6047d6810b23ef54911109 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
116 schema:name Physicians
117 rdf:type schema:DefinedTerm
118 N8cb4236ec0bf4faf9c960685b014ed13 schema:name pubmed_id
119 schema:value 30030742
120 rdf:type schema:PropertyValue
121 N92d48a04a20941b2b9abd2669cae68b9 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
122 schema:name Humans
123 rdf:type schema:DefinedTerm
124 N930789f33e92402ba218e81575508eb5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
125 schema:name Cross-Sectional Studies
126 rdf:type schema:DefinedTerm
127 N9e60a46fcdd14abc938752f46a648546 schema:name dimensions_id
128 schema:value pub.1105738077
129 rdf:type schema:PropertyValue
130 Nb60668dfd7154356899e406e85673a50 schema:volumeNumber 23
131 rdf:type schema:PublicationVolume
132 Nb919bd07505c4b6393aba44111fe28c2 rdf:first sg:person.016476462675.54
133 rdf:rest N100c18dbf4714054850c32cf9ac4b70a
134 Nc5363690fcea4093862a6a4259bd91bb schema:name readcube_id
135 schema:value 92efe7ce2a65e7aff3ddbdec6fea446884d2313ae483a469257210787ba5166d
136 rdf:type schema:PropertyValue
137 Nc5a2b2226da241809178af0ac9d62f60 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
138 schema:name Female
139 rdf:type schema:DefinedTerm
140 Nc5ef5e8defb745ff96184ff5e7bb624f rdf:first sg:person.013646542072.13
141 rdf:rest rdf:nil
142 Nd21a8d11d7244292a2e84df9b8d3bf53 schema:name Springer Nature - SN SciGraph project
143 rdf:type schema:Organization
144 Nd8b6bc93d59e45b6ac96f1038aa76e0b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Practice Patterns, Physicians'
146 rdf:type schema:DefinedTerm
147 Nd95aa6b4454c43beadae87ade4945138 schema:name nlm_unique_id
148 schema:value 9715672
149 rdf:type schema:PropertyValue
150 Nedb013f77c85463fb3ab3a24e597dab5 schema:name doi
151 schema:value 10.1007/s10995-018-2594-y
152 rdf:type schema:PropertyValue
153 Nef9dece706ee47d59f059ccc23f72175 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
154 schema:name Attitude of Health Personnel
155 rdf:type schema:DefinedTerm
156 Nf3f31527842c4a6982db67891b7b275e schema:issueNumber 1
157 rdf:type schema:PublicationIssue
158 Nf965691e7e454381ab89521f99236c01 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
159 schema:name Male
160 rdf:type schema:DefinedTerm
161 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
162 schema:name Medical and Health Sciences
163 rdf:type schema:DefinedTerm
164 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
165 schema:name Public Health and Health Services
166 rdf:type schema:DefinedTerm
167 sg:grant.2439425 http://pending.schema.org/fundedItem sg:pub.10.1007/s10995-018-2594-y
168 rdf:type schema:MonetaryGrant
169 sg:journal.1117494 schema:issn 1092-7875
170 1573-6628
171 schema:name Maternal and Child Health Journal
172 rdf:type schema:Periodical
173 sg:person.01102344174.84 schema:affiliation N3f0f00e9b44e41728aa50447c397a748
174 schema:familyName Storfer-Isser
175 schema:givenName Amy
176 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01102344174.84
177 rdf:type schema:Person
178 sg:person.01204427757.27 schema:affiliation https://www.grid.ac/institutes/grid.67105.35
179 schema:familyName Garner
180 schema:givenName Andrew S.
181 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01204427757.27
182 rdf:type schema:Person
183 sg:person.01246777311.61 schema:affiliation https://www.grid.ac/institutes/grid.19006.3e
184 schema:familyName Szilagyi
185 schema:givenName Moira
186 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01246777311.61
187 rdf:type schema:Person
188 sg:person.01264705774.99 schema:affiliation https://www.grid.ac/institutes/grid.137628.9
189 schema:familyName Hoagwood
190 schema:givenName Kimberly E.
191 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01264705774.99
192 rdf:type schema:Person
193 sg:person.01340553072.32 schema:affiliation https://www.grid.ac/institutes/grid.250263.0
194 schema:familyName Kerker
195 schema:givenName Bonnie D.
196 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01340553072.32
197 rdf:type schema:Person
198 sg:person.013646542072.13 schema:affiliation https://www.grid.ac/institutes/grid.137628.9
199 schema:familyName Horwitz
200 schema:givenName Sarah M.
201 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013646542072.13
202 rdf:type schema:Person
203 sg:person.016476462675.54 schema:affiliation https://www.grid.ac/institutes/grid.413734.6
204 schema:familyName Green
205 schema:givenName Cori
206 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016476462675.54
207 rdf:type schema:Person
208 sg:person.0766115574.09 schema:affiliation N4d14005256cc4dde8eed9b37c5492a45
209 schema:familyName Stein
210 schema:givenName Ruth E. K.
211 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0766115574.09
212 rdf:type schema:Person
213 https://app.dimensions.ai/details/publication/pub.1076548128 schema:CreativeWork
214 https://app.dimensions.ai/details/publication/pub.1082143866 schema:CreativeWork
215 https://doi.org/10.1001/archpedi.154.4.361 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001791649
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1001/archpedi.1974.02110230091016 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021375724
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1001/archpedi.1979.02130070045010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049679060
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1016/j.acap.2015.08.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028088074
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1016/j.acap.2015.08.006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053366943
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1016/j.acap.2015.08.012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007065918
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1016/j.acap.2015.10.009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016670852
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1016/j.acap.2016.07.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006964414
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1016/j.acap.2016.10.014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084055512
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1016/j.acap.2016.11.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031818434
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1016/j.chc.2017.06.004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1090858107
236 rdf:type schema:CreativeWork
237 https://doi.org/10.1016/j.cpem.2013.01.003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006646319
238 rdf:type schema:CreativeWork
239 https://doi.org/10.1016/j.jpeds.2015.10.067 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011295637
240 rdf:type schema:CreativeWork
241 https://doi.org/10.1016/j.jpeds.2016.09.002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018252786
242 rdf:type schema:CreativeWork
243 https://doi.org/10.1016/j.jpeds.2018.06.044 schema:sameAs https://app.dimensions.ai/details/publication/pub.1105682764
244 rdf:type schema:CreativeWork
245 https://doi.org/10.1016/s0749-3797(00)00258-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048575858
246 rdf:type schema:CreativeWork
247 https://doi.org/10.1016/s0749-3797(98)00017-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016482317
248 rdf:type schema:CreativeWork
249 https://doi.org/10.1093/jpepsy/jsy012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1101010213
250 rdf:type schema:CreativeWork
251 https://doi.org/10.1097/00004703-200302001-00001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025820786
252 rdf:type schema:CreativeWork
253 https://doi.org/10.1097/dbp.0000000000000383 schema:sameAs https://app.dimensions.ai/details/publication/pub.1079405932
254 rdf:type schema:CreativeWork
255 https://doi.org/10.1097/dbp.0b013e318196b0de schema:sameAs https://app.dimensions.ai/details/publication/pub.1035233706
256 rdf:type schema:CreativeWork
257 https://doi.org/10.1111/pedi.12191 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032579655
258 rdf:type schema:CreativeWork
259 https://doi.org/10.1177/0009922813476572 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028670181
260 rdf:type schema:CreativeWork
261 https://doi.org/10.1377/hlthaff.2014.0832 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067171498
262 rdf:type schema:CreativeWork
263 https://doi.org/10.1542/peds.2004-2825b schema:sameAs https://app.dimensions.ai/details/publication/pub.1011869205
264 rdf:type schema:CreativeWork
265 https://doi.org/10.1542/peds.2006-0652 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067825198
266 rdf:type schema:CreativeWork
267 https://doi.org/10.1542/peds.2011-2662 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040028084
268 rdf:type schema:CreativeWork
269 https://doi.org/10.1542/peds.2014-0594 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018002197
270 rdf:type schema:CreativeWork
271 https://doi.org/10.1542/peds.2014-2888 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030424507
272 rdf:type schema:CreativeWork
273 https://doi.org/10.1542/peds.2014-3274 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033125801
274 rdf:type schema:CreativeWork
275 https://doi.org/10.1542/peds.2015-3301 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028739470
276 rdf:type schema:CreativeWork
277 https://doi.org/10.1542/peds.digest1355 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030949229
278 rdf:type schema:CreativeWork
279 https://doi.org/10.1542/pir.33-3-99 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067834233
280 rdf:type schema:CreativeWork
281 https://www.grid.ac/institutes/grid.137628.9 schema:alternateName New York University
282 schema:name New York University School of Medicine, New York, NY, USA
283 rdf:type schema:Organization
284 https://www.grid.ac/institutes/grid.19006.3e schema:alternateName University of California Los Angeles
285 schema:name University of California at Los Angeles, Los Angeles, CA, USA
286 rdf:type schema:Organization
287 https://www.grid.ac/institutes/grid.250263.0 schema:alternateName Nathan Kline Institute for Psychiatric Research
288 schema:name Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA
289 New York University School of Medicine, New York, NY, USA
290 rdf:type schema:Organization
291 https://www.grid.ac/institutes/grid.413734.6 schema:alternateName NewYork–Presbyterian Hospital
292 schema:name Department of Pediatrics, NewYork Presbyterian Hospital/Weill Cornell Medical College, 525 East 68th Street, Box 139, 10065, New York, NY, USA
293 General Academic Pediatrics, Weill Cornell Medical College/NewYork Presbyterian Hospital, New York, NY, USA
294 rdf:type schema:Organization
295 https://www.grid.ac/institutes/grid.67105.35 schema:alternateName Case Western Reserve University
296 schema:name Case Western Reserve University, Cleveland, OH, USA
297 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...