RT Journal Article
T1 Paediatricians provide higher quality care to children and adolescents in primary care: A systematic review.
A1 Aparicio Rodrigo, María
A1 Ruiz Canela, Juan
A1 Buñuel Álvarez, Jose Cristóbal
A1 García Vera, César
A1 Esparza Olcina, Maria Jesús
A1 Barroso Espadero, Domingo
A1 González Rodríguez, Paz
A1 Juanes Toledo, Blanca
A1 Martínez Rubio, Victoria
A1 Ortega Páez, Eduardo
K1 ambulatory care
K1 family
K1 family practice
K1 paediatricians
K1 physicians
K1 primary health care
AB 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. 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. 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. According to published data, in developed countries, paediatricians provide higher quality care to children than family doctors.
YR 2020
FD 2020-05-25
LK http://hdl.handle.net/10668/15397
UL http://hdl.handle.net/10668/15397
LA en
DS RISalud
RD Apr 9, 2025