JAMA Pediatrics ( IF 26.1 ) Pub Date : 2020-04-01 , DOI: 10.1001/jamapediatrics.2019.5532 James M Perrin 1 , Nicolas M Oreskovic 1
In this issue of JAMA Pediatrics, Ray et al1 reported a decrease in primary care visits from 2008 to 2016 in a commercially insured child and adolescent population. This decrease occurred in acute care visits, whereas preventive care visits increased substantially during the same time frame. The findings document change in the content of primary care, from acute problem-oriented care to more preventive services and potentially some increased attention to mental health, insofar as the only condition group to have an increase over the study period was psychiatry or behavioral. These changes appear in the context of much other change in the organization and financing of pediatric care, as well as changing family structure and workforce participation and expanding internet availability. Do these findings presage new critical issues for pediatric practices or do they mainly document what is known and already changing?
中文翻译:
改变儿科初级保健。
在本期《JAMA儿科》中,Ray等人1报告称,从2008年到2016年,在商业上有保险的儿童和青少年人群中,初级保健就诊人数有所减少。这种减少发生在急诊就诊中,而预防性就诊在同一时间范围内大幅增加。研究结果证明,在整个研究期间唯一增加的条件是精神病学或行为学方面,从急性问题导向型护理到更具预防性的服务以及可能对精神健康的某些关注,初级保健内容的变化。这些变化出现在儿科护理的组织和筹资方面的其他许多变化,以及家庭结构和劳动力参与的变化以及互联网可用性的扩大方面。