| Autor: |
McBurney PG; Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina 29425, USA. mcburnpg@musc.edu, Gustafson KK, Darden PM |
| Jazyk: |
angličtina |
| Zdroj: |
Clinical pediatrics [Clin Pediatr (Phila)] 2008 Oct; Vol. 47 (8), pp. 803-8. Date of Electronic Publication: 2008 May 28. |
| DOI: |
10.1177/0009922808318341 |
| Abstrakt: |
Work limitations were mandated (2003) to increase safety and improve resident lifestyle. Is clinic continuity affected? Medical University of South Carolina pediatric residents' records for 6 months of 2002 (before regulation) and 2003 (after regulation) were reviewed. Continuity for physician formula, t tests, and multivariate linear regression were used. Continuity was calculated for 44 residents (2002) and 45 residents (2003). Mean continuity was 54% (2002) and 53% (2003; P = .5); continuity for well-child care visits was 78% (2002) and 73% (2003; P = .047). Continuity decreased most for interns (52% [2002], 47% [2003] for all visits; 76%, 67% for well-child care visits). In the multivariate model, year did not predict continuity. When only well-child care visits were considered, year showed a trend toward significance ( P = .07): 2003 had less continuity. Compared with third-year residents, interns had 8% points less continuity for all visits (6% points less for well-child care visits). Continuity can be maintained despite regulations. Interns are most vulnerable. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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