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A Survey on the Adolescent Health Care in Pediatric Practice

Journal of the Korean Pediatric Society 2000;43(3):344-350.
Published online March 15, 2000.
A Survey on the Adolescent Health Care in Pediatric Practice
Ki Hea Cho1, Youn Jung Choi1, Young Kyu Shin1, Baek Lin Eun1, Sang Hee Park1, Chang-Ho Hong2
1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
2Department of Pediatrics, School of Medicine, Ajou University, Suwon, Korea
소아과 의사들의 청소년 건강관리에 대한 인식 조사
조기혜1, 최윤정1, 신영규1, 은백린1, 박상희1, 홍창호2
1고려대학교 의과대학 소아과학교실
2아주대학교 의과대학 소아과학교실
Abstract
Purpose
: This study was designed to establish standard guidelines to meet the growing health care needs of adolescents by direct assessment of pediatricians' current practices, attitude and obstacles to the primary care of adolescents.
Methods
: A questionnaire consisting of 9 questions, including personal characteristics of respondents, current health care practice of adolescents, attitude, obstacles to providing adolescent care, interest in further training, roles of Korean Pediatric Society for adolescent medicine, etc., was completed by 214 pediatricians.
Results
: Among the respondents, 87.4% were in the 4th or 5th decade of age, and 88.8% of respondents were working for private clicins. More than 60% of respondents were managing patients without age limits. Most of the respondents were interested in adolescent medicine. However, approximately one half of all respondents answered that they could not currently provide satisfactory care to their adolescent patients. Obstacles to providing adolescent care include : their image as “baby doctors”, lack of knowledge and skills in adolescent medicine, lack of separate hours for adolescents and concern that parents would object to certain types of care. Among respondents who wanted to further training, many were interested in Continuing Medical Education(CME) course, lecture series, introducing reading lists and publishing textbooks, while others expressed their interest in a newsletter and mini-fellowship. Respondents expected the Korean Pediatric Society to play a role in activating the adolescent medicine as a field for pediatric practice through educating adolescents, pediatricians and advertising via mass media.
Conclusion
: Future policy decisions and medical education must respond to these realities in pediatric practice.
Key Words: Adolescent medicine, Pediatricians, Adolescent health care


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