Please Be Careful with Me: Discrepancies between Adolescent Expectations and Clinician Perspectives on the Management of Pelvic Inflammatory Disease
| Autor: | Maria Trent, Arlene Butz, Kevin D. Frick, Jonathan M. Ellen, Qiang Qian, Harold P Lehmann, Michelle Alexandra Recto |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Adolescent Visual analogue scale Psychological intervention Article 03 medical and health sciences Adolescent medicine 0302 clinical medicine Pregnancy 030225 pediatrics Pelvic inflammatory disease medicine Humans Practice Patterns Physicians' Child 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Patient Preference General Medicine Disposition Hospitalization Regimen Cross-Sectional Studies Scale (social sciences) Family medicine Pediatrics Perinatology and Child Health Female business Social vulnerability Pelvic Inflammatory Disease |
| Zdroj: | J Pediatr Adolesc Gynecol |
| ISSN: | 1083-3188 |
| DOI: | 10.1016/j.jpag.2019.04.001 |
| Popis: | STUDY OBJECTIVE: To compare clinician perspectives for the treatment of pelvic inflammatory disease (PID) with those of adolescent patients and parents. DESIGN: Cross-sectional study. SETTING: Urban academic pediatric and adolescent medicine practices and school-based health clinics in a large urban community with a high prevalence of sexually transmitted infections (STI) and a national sample of adolescent-serving clinicians. PARTICIPANTS: Female patients aged 12–19, parents raising an adolescent over the age of 12 in the urban community, and clinicians who serve adolescents collected from regional and national listservs. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Visual analog scale (VAS) scores on a scale of 0 to 10 corresponding to preferences on patient disposition in 17 clinical scenarios for a hypothetical patient with PID. RESULTS: Compared to adolescents, clinicians were significantly more likely to endorse hospitalizations when patients presented with severe or complicated illness (0.9, SE 0.22, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect