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12 - New Models of Pediatric Care

Published online by Cambridge University Press:  15 July 2009

Barry Zuckerman
Affiliation:
Professor of Pediatrics, Professor of Public Health, Chairman of Pediatrics Boston University School of Medicine; Chief of Pediatrics Boston Medical Center
Steven Parker
Affiliation:
Director Division of Developmental and Behavioral Pediatrics, Boston Medical Center; Associate Professor of Pediatrics Boston University School of Medicine
Neal Halfon
Affiliation:
University of California, Los Angeles
Kathryn Taaffe McLearn
Affiliation:
Columbia University, New York
Mark A. Schuster
Affiliation:
University of California, Los Angeles
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Summary

The landscape for families is changing at a rapid pace. Managed care has left its stamp, perhaps indelibly, on the way pediatrics is practiced. Income inequality is increasing, and racial disparity in health remains. The media has saturated families with more information than they can process and spawned a culture for children that seems to change almost daily. At the same time, children are exposed at earlier and earlier ages to ideas and behaviors most of us have difficulty making sense of, even as adults. The world facing families with young children offers great promise, but also significant challenges.

The dizzying pace of change may affect the content and duration of pediatric primary care visits, but the structure of those visits will probably change very little. The pediatric clinician will likely continue to see a child on at least eleven occasions for well-child care in the first 3 years of life and at least several other times for sick visits. Pediatric clinicians will almost surely remain the professionals who see families with young children most consistently. Indeed, for many families, pediatricians are the only professionals who see them together, in a family context. These visits come at a time when parents are extremely receptive to professional support, information, and advice. Findings from The Commonwealth Fund Survey of Parents with Young Children indicate, for example, that mothers are more likely to breastfeed if a physician discusses the advantages of the practice with her.

Type
Chapter
Information
Child Rearing in America
Challenges Facing Parents with Young Children
, pp. 347 - 366
Publisher: Cambridge University Press
Print publication year: 2002

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  • New Models of Pediatric Care
    • By Barry Zuckerman, Professor of Pediatrics, Professor of Public Health, Chairman of Pediatrics Boston University School of Medicine; Chief of Pediatrics Boston Medical Center, Steven Parker, Director Division of Developmental and Behavioral Pediatrics, Boston Medical Center; Associate Professor of Pediatrics Boston University School of Medicine
  • Edited by Neal Halfon, University of California, Los Angeles, Kathryn Taaffe McLearn, Columbia University, New York, Mark A. Schuster, University of California, Los Angeles
  • Book: Child Rearing in America
  • Online publication: 15 July 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511499753.012
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • New Models of Pediatric Care
    • By Barry Zuckerman, Professor of Pediatrics, Professor of Public Health, Chairman of Pediatrics Boston University School of Medicine; Chief of Pediatrics Boston Medical Center, Steven Parker, Director Division of Developmental and Behavioral Pediatrics, Boston Medical Center; Associate Professor of Pediatrics Boston University School of Medicine
  • Edited by Neal Halfon, University of California, Los Angeles, Kathryn Taaffe McLearn, Columbia University, New York, Mark A. Schuster, University of California, Los Angeles
  • Book: Child Rearing in America
  • Online publication: 15 July 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511499753.012
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • New Models of Pediatric Care
    • By Barry Zuckerman, Professor of Pediatrics, Professor of Public Health, Chairman of Pediatrics Boston University School of Medicine; Chief of Pediatrics Boston Medical Center, Steven Parker, Director Division of Developmental and Behavioral Pediatrics, Boston Medical Center; Associate Professor of Pediatrics Boston University School of Medicine
  • Edited by Neal Halfon, University of California, Los Angeles, Kathryn Taaffe McLearn, Columbia University, New York, Mark A. Schuster, University of California, Los Angeles
  • Book: Child Rearing in America
  • Online publication: 15 July 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511499753.012
Available formats
×