000101524 001__ 101524
000101524 005__ 20220426091136.0
000101524 0247_ $$2doi$$a10.1111/apa.15324
000101524 0248_ $$2sideral$$a118218
000101524 037__ $$aART-2020-118218
000101524 041__ $$aeng
000101524 100__ $$aAparicio Rodrigo, M.
000101524 245__ $$aPaediatricians provide higher quality care to children and adolescents in primary care: A systematic review
000101524 260__ $$c2020
000101524 5060_ $$aAccess copy available to the general public$$fUnrestricted
000101524 5203_ $$aAim: 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.
Methods: 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.
Results: 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.
Conclusion: According to published data, in developed countries, paediatricians provide higher quality care to children than family doctors.
000101524 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000101524 590__ $$a2.299$$b2020
000101524 591__ $$aPEDIATRICS$$b60 / 129 = 0.465$$c2020$$dQ2$$eT2
000101524 592__ $$a0.772$$b2020
000101524 593__ $$aPediatrics, Perinatology and Child Health$$c2020$$dQ2
000101524 593__ $$aMedicine (miscellaneous)$$c2020$$dQ2
000101524 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/acceptedVersion
000101524 700__ $$aRuiz Canela, J.
000101524 700__ $$aBuñuel Álvarez, J.C.
000101524 700__ $$0(orcid)0000-0002-8459-9705$$aGarcía Vera, C.$$uUniversidad de Zaragoza
000101524 700__ $$aEsparza Olcina, M.J.
000101524 700__ $$aBarroso Espadero, D.
000101524 700__ $$aGonzález Rodríguez, P.
000101524 700__ $$aJuanes Toledo, B.
000101524 700__ $$aMartínez Rubio, V.
000101524 700__ $$aOrtega Páez, E.
000101524 7102_ $$11011$$2670$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Pediatría
000101524 773__ $$g109, 10 (2020), 1989-2007$$pActa pñdiatr.$$tActa Paediatrica, International Journal of Paediatrics$$x0803-5253
000101524 8564_ $$s979154$$uhttps://zaguan.unizar.es/record/101524/files/texto_completo.pdf$$yPostprint
000101524 8564_ $$s1393697$$uhttps://zaguan.unizar.es/record/101524/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000101524 909CO $$ooai:zaguan.unizar.es:101524$$particulos$$pdriver
000101524 951__ $$a2022-04-26-08:53:41
000101524 980__ $$aARTICLE