Pediatric Health Care Provider Perspectives on Injury Prevention Counseling in Acute and Primary Care Settings

Abstract

The objective of this study was to characterize how pediatric primary care and emergency medicine health care providers and trainees engage in injury prevention counseling and assess perceptions toward injury prevention resources. We surveyed physicians, advanced practice providers, and trainees in the Emergency Department, Primary Care Network, and Pediatric Residency Program at Children’s Hospital of Philadelphia from September to November 2019. Of the 578 eligible participants, 208 (36.0%) completed the survey. When asked to rank the suitability of alternative personnel for providing counseling, 63.0% of the participants selected an injury prevention specialist as best suited. Seventy-six percent of the providers considered a tablet or mobile device used before a patient encounter to be a helpful resource. Variability existed in provider comfort, knowledge, and frequency of counseling by injury topic. Free-text responses cited time as a barrier to counseling. Opportunities exist to improve the provision of injury education through the utilization of novel resources and personnel.

Pediatricians’ experiences of managing outpatient care during the COVID-19 pandemic: A qualitative study in Germany

“…The World Health Organization (WHO) declared this an “infodemic” ( 11 ). It is a task of pediatricians to convey health-related information to parents in an understandable way, enabling them to act accordingly ( 12 , 13 ). Thus, pediatricians had to stay up to date on the latest scientific evidence in order to be able to provide comprehensive care for their patients.…”

Healthcare providers’ discussions regarding transportation and driving with autistic and non-autistic patients: A brief report

“…Health and behavioral service providers may be uniquely poised to provide resources or counsel and assist families as they make transportation-related decisions. Several studies have reported parents, adolescents, and providers themselves consider the teen's primary care physician a resource for information about transportation topics, and in particular, independent driving (Ford et al, 2016;Gaw et al, 2020;Mirman, Goodman, Friedrich, & Ford, 2018). However, a recent survey found only 62% of primary care physicians were comfortable counseling their patients on driving (Gaw et al, 2020).…”

“…Several studies have reported parents, adolescents, and providers themselves consider the teen's primary care physician a resource for information about transportation topics, and in particular, independent driving (Ford et al, 2016;Gaw et al, 2020;Mirman, Goodman, Friedrich, & Ford, 2018). However, a recent survey found only 62% of primary care physicians were comfortable counseling their patients on driving (Gaw et al, 2020). Further, autistic individuals may experience unique challenges during provider-patient interactions (e.g., communication and sensory di culties; Duker, Kim, Pomponio, Mosqueda, & Pfeiffer, 2019).…”

Brief Report: Healthcare Providers’ Discussions Regarding Transportation and Driving with Autistic and Non-autistic Patients

“…Health and behavioral service providers may be uniquely poised to provide resources or counsel and assist families as they make transportation-related decisions. Several studies have reported parents, adolescents, and providers themselves consider the teen's primary care physician a resource for information about transportation topics, and in particular, independent driving (Ford et al, 2016;Gaw et al, 2020;Mirman et al, 2018aMirman et al, , 2018b. However, a recent survey found only 62% of primary care physicians were comfortable counseling their patients on driving (Gaw et al, 2020).…”

“…Several studies have reported parents, adolescents, and providers themselves consider the teen's primary care physician a resource for information about transportation topics, and in particular, independent driving (Ford et al, 2016;Gaw et al, 2020;Mirman et al, 2018aMirman et al, , 2018b. However, a recent survey found only 62% of primary care physicians were comfortable counseling their patients on driving (Gaw et al, 2020). Further, autistic individuals may experience unique challenges during provider-patient interactions (e.g., communication and sensory difficulties; Duker et al, 2019).…”