Grossman Z

Language: English
References: 15
Page: 17-20
PDF size: 61.33 Kb.

Text Extraction

The majority of pediatric patients in developed countries are being treated in ambulatory clinics and not in hospitals. There are several major differences between the two settings. First, the wide spectrum of clinical severity seen in the office differs from that seen in hospitals. This precludes generalization and application of results from studies done in hospitals and emergency rooms to the unselected patient population in the primary care clinics. Second, psychosocial morbidity is more frequently encountered in the pediatric primary care setting. Thus, primary care research advantages include the following: the sample represents the true character of the disease, research of psychosocial issues is enabled, it allows health care services research, and it helps to improve quality of care. There are, though, difficulties in accomplishing good primary care research. These obstacles are:

• lack of time,
• shortage of funding,
• little help in designing a study,
• difficulty in getting ethic approval,
• little or no help in statistic analysis,
• no help in writing down the manuscript for publication.

REFERENCES

1. Grossman Z, Kahan E, Gross S, Ashkenazi S, Shalit I. Pediatric research in an Office setting network. Harefuah, 1999; 136:926-930

2. Diamond G, Zalzberg J, Sadeh M, Grossman Z, Inbar D, Cohen HJ and IPROS Network. Unaccompanied visits to the doctor in community pediatric clinics. Ambulatory Child Health, 1999; 5:121-130.

3. Ehrlichman M, Litt R, Grossman Z, Kahan E and IPROS Network. Evaluation of the approach of primary care physicians to the management of streptococcal pharyngotonsillitis. IMAJ, 2000; 2:169-173.

4. Diamond G, Zalzberg J, Inbar D, Cohen Z, Laks Y, Geva D, Grossman Z and Cohen HJ. Birth order, birth weight and later patterns of growth. Ambulatory Child Health, 2001; 7:259-267.

5. Lifshitz M, Gavrilov V, Grossman Z, Binshtok M, Hornik D, Rosenblum H, Chemni S, Alkrinawi S, Miron D and Gorodischer R. Unapproved prescription practices in primary pediatric clinics in Israel: A prospective analysis. Curr Ther Res Clin Exp, 2002; 63:830-837.

6. Sarrell M, Cohen HA, Kahan E. Physicians’, Nurses’, and Parents’ Attitudes to and Knowledge about Fever in Early Childhood. Patient Education and Counseling. 2002; 46 (1) 61-65.

7. Sarrell M, Kahan E. Impact of a single session education program on parental knowledge of and approach to childhood fever. Patient Education and Counseling 2003. 51:59-63.

8. Sarrell EM, Cohen HA, Kahan E. Naturopathic treatment for ear pain in children. Pediatrics, 2003; 5:e574-e579.

9. Cohen HA, Cohen Z, Kahan E, Bacterial contamination of spacer devices used by children with asthma. JAMA 2003; 290:195-196.

10. Amirav I, Mansour Y, Tiosano T, Chamny S, Chirurg S, Oren S, Grossman Z, Kahana L, Kahan E and MT Newhouse for the Ipros Network. Safety of inhaled corticosteroids delivered by plastic and metal spacers. Arch Dis Child 2003; 88:527-528.

11. Cohen HA, Varsano I, Kahan E, Sarrel M, Uziel Y. Effectiveness of an herbal preparation containing Echinacea, Propolis and Vitamin C in preventing respiratory tract infections in children. Arch Pediatr Adolesc Med 2004; 158:217-221.

12. Amirav I, Tiosano T, Chamny S, Chirurg S, Oren S, Grossman Z, Kahan E, Newhouse MT, Mansour Y; IPROS network. Comparison of efficiency of metal and plastic spacers in preschool children. Ann Allergy Asthma Immunol. 2004 Sep; 93(3):249-52.

13. Kushnir T, Cohen HA. Burnout: Theoretical approaches and the experience of Israeli primary care physicians. IMAG 2004;6:451-455.

14. Greenberg R, Grossman Z, Goldstein L, Berkovitch M, Kozer E. How much acetaminophen do pediatricians prescribe? A survey among Israeli pediatricians. J Clin Pharm Ther 2005; 30:443-446

15. Kahan E, Gross S, Horev Z, Grossman Z, Cohen HA, Pediatricians’ attitudes to exclusion of ill children from child care centers in Israel: Pressure on ambulatory practices. Patient Education and Counseling 2006;164-170.