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November 1983, Vol 137, No. 11 >
Article | November 1983

A Profile of Pediatric Practice in the United States FREE

Robert A. Hoekelman, MD; Barbara Starfield, MD; Marie McCormick, MD; Hallie DeChant; Christy Moynihan, PhD; Stephen Radecki, PhD; Robert C. Mendenhall, MS
[+] Author Affiliations

Reprint requests to University of Rochester Medical Center, Strong Memorial Hospital, 601 Elmwood Ave, Rochester, NY 14642 (Dr Hoekelman).


Am J Dis Child. 1983;137(11):1057-1060. doi:10.1001/archpedi.1983.02140370019007.
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• We profiled pediatric practice in the United States through a second-order analysis of data gathered in 1977 from 429 practicing pediatricians. Age, sex, board certification status, practice arrangement, and practice location of pediatricians in the United States were evaluated, as well as their patterns of practice. The number of and reasons for visits made to pediatricians by patient age and sex were tabulated. Child health supervision and diseases of the upper and lower parts of the respiratory tract accounted for 84.5% of the principal diagnoses made in 21,784 visits to the sample of pediatricians studied. These data may be useful in planning pediatric primary care residency training program curricula and in making planning decisions regarding the number and distribution of pediatricians nationally.

(Am J Dis Child 1983;137:1057-1060)

REFERENCES

1 +
Mendenhall RC: Pediatrics Practice Study Report . Los Angeles, University of Southern California, 1978;.
2 +
Aiken LH, Lewis CE, Craig J, et al:  The contribution of specialists to the delivery of primary care: A new perspective . N Engl J Med 1979;;300:1363-1370.
3 +
Mendenhall RC, Girard RA, Abrahamson S:  A national study of medical and surgical specialties: I. Background, purpose, and methodology . JAMA 1978;;240:848-852.
4 +
Mendenhall RC, Lloyd JS, Repicky PA, et al:  A national study of medical and surgical specialties: II. Description of the survey instrument . JAMA 1979;;240:1160-1168.
5 +
Mendenhall RC, Lewis CE, DeFlorio GP, et al:  A national study of medical and surgical specialties: III. An empirical approach to the classification of patient care . JAMA 1979;;241: 2180-2185.
6 +
Girard RA, Mendenhall RC, Tarlov AR, et al:  A national study of internal medicine and its specialties: I. An overview of the practice of internal medicine . Ann Intern Med 1979;;90: 965-975.
7 +
Mendenhall RC, Tarlov AR, Girard RA, et al:  A national study of internal medicine and its specialties: II. Primary care in internal medicine . Ann Intern Med 1979;;91:275-287.
8 +
Mendenhall RC, Ramsay DL, Girard RA, et al:  A study of the practice of dermatology in the United States . Arch Dermatol 1978;;114:1456-1462.
9 +
Lloyd JS, Mendenhall RD, DeFlorio GP, et al:  A study of the practice of otorhinolaryngology in the United States: Initial findings . Arch Otolaryngol 1979;;105:610-620.
10 +
Watts C, Mendenhall RC, Radecki SE, et al:  Neurosurgical manpower: The physician's viewpoint . J Neurosurg 1982;;56:609-614.
11 +
Mendenhall RC, Watts C, Radecki SE, et al:  Neurosurgery in the United States: A log-diary study . Neurosurgery 1981;;8:267-276.
12 +
Pearse WH, Mendenhall RC:  Manpower for obstetrics-gynecology: II. Characteristics of patients; their diagnoses and care . Am J Obstet Gynecol 1980;;137:320-326.
13 +
Mendenhall RC, Pearse WH, Stander RW, et al:  Manpower for obstetrics-gynecology: I. Demographic considerations and practice work load . Am J Obstet Gynecol 1978;;130:927-932.
14 +
Perrin EB, Harkins EB, Marini MM: Evaluation of the Reliability and Validity of Data Collected in the USC Medical Activities and Manpower Projects . Seattle, Battelle Human Affairs Research Center, 1978;.
15 +
International Classification of Diseases , US Dept of Health, Education and Welfare publication (PHS) 1693. National Center for Health Statistics, 1972;.
16 +
Aldrich CA:  The composition of private pediatric practice: A method for keeping adequate clinical records . Am J Dis Child 1934;;47: 1051-1064.
17 +
Boulware JR:  The composition of private pediatric practice in a small community in the south of the United States: A 25 year survey . Pediatrics 1958;;22:548-558.
18 +
Geppert LJ:  Composition of pediatric practice at a permanent army base in the antibiotic era . Pediatrics 1958;;22:336-363.
19 +
Aldrich RA, Spitz RH:  Survey of pediatric practice in the US , in Spitz RH (ed): Careers in Pediatrics: Report of the 36th Ross Conference on Pediatric Research . Columbus, Ohio, Ross Laboratories, 1960;, pp 57-74.
20 +
Arnhold RG, Callas ER:  Composition of a suburban pediatric office practice: An analysis of patient visits during one year . Clin Pediatr 1966;; 5:722-728.
21 +
Bergman AB, Dassel SW, Wedgwood RJ:  Time-motion study of practicing pediatricians . Pediatrics 1966;;38:254-263.
22 +
Breese BB, Disney FA, Talpey W:  The nature of a small pediatric group practice: Part 1 . Pediatrics 1966;;38:264-277.
23 +
Yankauer A, Connelly JP, Feldman JJ:  Pediatric practice in the United States: With special attention to utilization of allied health worker services . Pediatrics 1970;;45( (suppl) ):521-554.
24 +
Starfield B, Bice T, Schach E, et al:  How 'regular' is the 'regular source of medical care'? Pediatrics 1973;;51:822-832.
25 +
Burnett RD, Bell LS:  Projecting pediatric practice patterns: A survey by the American Academy of Pediatrics, Committee on Manpower . Pediatrics 1978;;62( (suppl) ):625-665.
26 +
Mclnerny TK, Roghmann KJ, Sutherland SA:  Primary pediatric care in one community . Pediatrics 1978;;61:389-397.
27 +
Demographic and Socioeconomic Fact Book on Child Health Care . Evanston, Ill, American Academy of Pediatrics, 1980;.
28 +
Ambulatory Care Utilization Patterns of Children and Young Adults: National Ambulatory Medical Care Survey, United States 1975 , US Dept of Health, Education and Welfare publication (PHS) 78-1790. Public Health Service, 1978;.
29 +
Ezzati T, McLemore T: National Ambulatory Medical Care Survey, 1977 Summary , US Dept of Health, Education and Welfare publication (PHS) 79-1250. National Center for Health Statistics, 1979;.
30 +
Preliminary Estimates of the Population of the United States, by Age, Sex, and Race, 1970 to 1981 , US Dept of Commerce publication 917, series P-25. Bureau of the Census, 1982;, p 32.

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References

1 +
Mendenhall RC: Pediatrics Practice Study Report . Los Angeles, University of Southern California, 1978;.
2 +
Aiken LH, Lewis CE, Craig J, et al:  The contribution of specialists to the delivery of primary care: A new perspective . N Engl J Med 1979;;300:1363-1370.
3 +
Mendenhall RC, Girard RA, Abrahamson S:  A national study of medical and surgical specialties: I. Background, purpose, and methodology . JAMA 1978;;240:848-852.
4 +
Mendenhall RC, Lloyd JS, Repicky PA, et al:  A national study of medical and surgical specialties: II. Description of the survey instrument . JAMA 1979;;240:1160-1168.
5 +
Mendenhall RC, Lewis CE, DeFlorio GP, et al:  A national study of medical and surgical specialties: III. An empirical approach to the classification of patient care . JAMA 1979;;241: 2180-2185.
6 +
Girard RA, Mendenhall RC, Tarlov AR, et al:  A national study of internal medicine and its specialties: I. An overview of the practice of internal medicine . Ann Intern Med 1979;;90: 965-975.
7 +
Mendenhall RC, Tarlov AR, Girard RA, et al:  A national study of internal medicine and its specialties: II. Primary care in internal medicine . Ann Intern Med 1979;;91:275-287.
8 +
Mendenhall RC, Ramsay DL, Girard RA, et al:  A study of the practice of dermatology in the United States . Arch Dermatol 1978;;114:1456-1462.
9 +
Lloyd JS, Mendenhall RD, DeFlorio GP, et al:  A study of the practice of otorhinolaryngology in the United States: Initial findings . Arch Otolaryngol 1979;;105:610-620.
10 +
Watts C, Mendenhall RC, Radecki SE, et al:  Neurosurgical manpower: The physician's viewpoint . J Neurosurg 1982;;56:609-614.
11 +
Mendenhall RC, Watts C, Radecki SE, et al:  Neurosurgery in the United States: A log-diary study . Neurosurgery 1981;;8:267-276.
12 +
Pearse WH, Mendenhall RC:  Manpower for obstetrics-gynecology: II. Characteristics of patients; their diagnoses and care . Am J Obstet Gynecol 1980;;137:320-326.
13 +
Mendenhall RC, Pearse WH, Stander RW, et al:  Manpower for obstetrics-gynecology: I. Demographic considerations and practice work load . Am J Obstet Gynecol 1978;;130:927-932.
14 +
Perrin EB, Harkins EB, Marini MM: Evaluation of the Reliability and Validity of Data Collected in the USC Medical Activities and Manpower Projects . Seattle, Battelle Human Affairs Research Center, 1978;.
15 +
International Classification of Diseases , US Dept of Health, Education and Welfare publication (PHS) 1693. National Center for Health Statistics, 1972;.
16 +
Aldrich CA:  The composition of private pediatric practice: A method for keeping adequate clinical records . Am J Dis Child 1934;;47: 1051-1064.
17 +
Boulware JR:  The composition of private pediatric practice in a small community in the south of the United States: A 25 year survey . Pediatrics 1958;;22:548-558.
18 +
Geppert LJ:  Composition of pediatric practice at a permanent army base in the antibiotic era . Pediatrics 1958;;22:336-363.
19 +
Aldrich RA, Spitz RH:  Survey of pediatric practice in the US , in Spitz RH (ed): Careers in Pediatrics: Report of the 36th Ross Conference on Pediatric Research . Columbus, Ohio, Ross Laboratories, 1960;, pp 57-74.
20 +
Arnhold RG, Callas ER:  Composition of a suburban pediatric office practice: An analysis of patient visits during one year . Clin Pediatr 1966;; 5:722-728.
21 +
Bergman AB, Dassel SW, Wedgwood RJ:  Time-motion study of practicing pediatricians . Pediatrics 1966;;38:254-263.
22 +
Breese BB, Disney FA, Talpey W:  The nature of a small pediatric group practice: Part 1 . Pediatrics 1966;;38:264-277.
23 +
Yankauer A, Connelly JP, Feldman JJ:  Pediatric practice in the United States: With special attention to utilization of allied health worker services . Pediatrics 1970;;45( (suppl) ):521-554.
24 +
Starfield B, Bice T, Schach E, et al:  How 'regular' is the 'regular source of medical care'? Pediatrics 1973;;51:822-832.
25 +
Burnett RD, Bell LS:  Projecting pediatric practice patterns: A survey by the American Academy of Pediatrics, Committee on Manpower . Pediatrics 1978;;62( (suppl) ):625-665.
26 +
Mclnerny TK, Roghmann KJ, Sutherland SA:  Primary pediatric care in one community . Pediatrics 1978;;61:389-397.
27 +
Demographic and Socioeconomic Fact Book on Child Health Care . Evanston, Ill, American Academy of Pediatrics, 1980;.
28 +
Ambulatory Care Utilization Patterns of Children and Young Adults: National Ambulatory Medical Care Survey, United States 1975 , US Dept of Health, Education and Welfare publication (PHS) 78-1790. Public Health Service, 1978;.
29 +
Ezzati T, McLemore T: National Ambulatory Medical Care Survey, 1977 Summary , US Dept of Health, Education and Welfare publication (PHS) 79-1250. National Center for Health Statistics, 1979;.
30 +
Preliminary Estimates of the Population of the United States, by Age, Sex, and Race, 1970 to 1981 , US Dept of Commerce publication 917, series P-25. Bureau of the Census, 1982;, p 32.

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