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J Pediatr. 2010 Jul;157(1):148-152.e1. doi: 10.1016/j.jpeds.2010.01.003. Epub 2010 Mar 15.

Which pediatricians are providing care to America's children? An update on the trends and changes during the past 26 years.

Author information

1
Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI 48109-0456, USA. gfreed@med.umich.edu

Abstract

OBJECTIVE:

To determine the current proportion of pediatric primary care and specialty visits being conducted by pediatricians versus other providers.

STUDY DESIGN:

We used data from 1980-2006 National Ambulatory Medical Care Surveys (NAMCS) to examine trends in office visits by patients 0 to 17 years of age. During our years of interest, the total number of visits in NAMCS by children ranged from 2597 to 9220 per year.

RESULTS:

Overall, the percentage of all nonsurgical physician office visits for children 0 to 17 years of age made to general pediatricians increased from 61% in 1996 to 71% in 2006 and those to nonpediatric generalists fell from 28% to 22%. The greatest changes between 2000 and 2006 occurred in the adolescent age group where the proportion of visits to general pediatricians increased from 38% to 53%.

CONCLUSIONS:

Pediatricians continue to provide most primary care visits for children in the United States. For the first time, pediatricians now provide most visits for adolescents.

PMID:
20227714
DOI:
10.1016/j.jpeds.2010.01.003
[Indexed for MEDLINE]

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