The house call - is it an anachronism that has seen its day?
Article Abstract:
During World War II, a shortage of physicians caused a shift from home visits to office visits. Nevertheless, house calls do have some advantages over office visits. In addition to allowing sick children to remain comfortably at home, physicians have the opportunity to see the children who are less upset in their own environment and assess conditions there. Parents do not have to find sitters for other children and worry about transportation to the office. The physician can examine other children if they might be exposed to transmittable diseases. Healthy children are not exposed to illnesses in the office and fewer medications need to be prescribed over the telephone. On the other hand, home visits are not cost-efficient and are time consuming. Most children are not too sick to come to the office. In addition, more patients can be seen in the office setting. Office visits permit the physician to perform the necessary diagnostic tests. All in all, in spite of the remaining advantages of making house calls, there is no indication that the practice is going to return. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Diseases of Children
Subject: Health
ISSN: 0002-922X
Year: 1989
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Controlling malignant melanoma: a focus on pediatricians
Article Abstract:
Early identification of risk factors for malignant melanoma and precursor lesions can help reduce the mortality rate associated with the disease. Lessening the sun exposure of children at high risk is especially important. Physicians must be educated in recognizing the disease and counseling parents on how to protect their children from it. Three departments of pediatrics were studied to determine pediatricians' awareness of the risk factors for malignant melanoma and whether they could recognize precursors. Ninety-six full-time faculty members, practicing pediatricians and pediatric residents completed questionnaires before and after a presentation on risk factors for melanoma. Most respondents felt they were not knowledgeable enough about the risk factors and indicated that they did not routinely examine their patients. More education of pediatricians is needed.
Publication Name: American Journal of Diseases of Children
Subject: Health
ISSN: 0002-922X
Year: 1993
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Injury and domestic violence prevention
Article Abstract:
Accidental injuries and domestic violence are among the leading causes of death and physical trauma in the United States, yet few primary caregivers advise or counsel patients on ways to prevent them. Tactful inquiries about domestic violence and supportive information can avert a worsening situation. Accident prevention counseling, ranging from home safety checklists to automobile seat belt information, can save lives and avoid injuries.
Publication Name: The Nurse Practitioner
Subject: Health
ISSN: 0361-1817
Year: 1997
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