Scope of Practice Issues in the Delivery of Pediatric Health Care
Autor: | Richard P. Shugerman, Frank A. Simon, William T. Basco, Andrew J. Hotaling, Mary E. Rimsza, Ted D. Sigrest |
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Rok vydání: | 2013 |
Předmět: |
Adult
Medical home medicine.medical_specialty Scope of practice Adolescent Attitude of Health Personnel Pediatric health Health Personnel Child Health Services Public policy Pediatrics Documentation Nursing Health care medicine Humans Pediatric Nurse Practitioner Practice Patterns Physicians' Child Quality of Health Care Patient Care Team business.industry Health Policy people.profession Legislature Family medicine Pediatrics Perinatology and Child Health business people Delivery of Health Care |
Zdroj: | Pediatrics. 131:1211-1216 |
ISSN: | 1098-4275 0031-4005 |
DOI: | 10.1542/peds.2013-0943 |
Popis: | The American Academy of Pediatrics (AAP) believes that optimal pediatric health care depends on a team-based approach with supervision by a physician leader, preferably a pediatrician. The pediatrician, here defined to include not only pediatric generalists but all pediatric medical subspecialists, all surgical specialists, and internal medicine/pediatric physicians, is uniquely qualified to manage, coordinate, and supervise the entire spectrum of pediatric care, from diagnosis through all stages of treatment, in all practice settings. The AAP recognizes the valuable contributions of nonphysician clinicians, including nurse practitioners and physician assistants, in delivering optimal pediatric care. However, the expansion of the scope of practice of nonphysician pediatric clinicians raises critical public policy and child health advocacy concerns. Pediatricians should serve as advocates for optimal pediatric care in state legislatures, public policy forums, and the media and should pursue opportunities to resolve scope of practice conflicts outside state legislatures. The AAP affirms the importance of appropriate documentation and standards in pediatric education, training, skills, clinical competencies, examination, regulation, and patient care to ensure safety and quality health care for all infants, children, adolescents, and young adults. |
Databáze: | OpenAIRE |
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