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BMC Primary Care
Published in: BMC Primary Care 1/2016

Open Access 01-12-2016 | Research article

Perspectives of family medicine physicians on the importance of adolescent preventive care: a multivariate analysis

Authors: Jaime L. Taylor, Matthew C. Aalsma, Amy L. Gilbert, Devon J. Hensel, Vaughn I. Rickert

Published in: BMC Primary Care | Issue 1/2016

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Abstract

Background

The study objective was to identify commonalities amongst family medicine physicians who endorse annual adolescent visits.

Methods

A nationally weighted representative on-line survey was used to explore pediatrician (N = 204) and family medicine physicians (N = 221) beliefs and behaviors surrounding adolescent wellness. Our primary outcome was endorsement that adolescents should receive annual preventive care visits.

Results

Pediatricians were significantly more likely (p < .01) to endorse annual well visits. Among family medicine physicians, bivariate comparisons were conducted between those who endorsed an annual visit (N = 164) compared to those who did not (N = 57) with significant predictors combined into two multivariate logistic regression models.
Model 1 controlled for: patient race, proportion of 13-17 year olds in provider’s practice, discussion beliefs scale and discussion behaviors with parents scale. Model 2 controlled for the same first three variables as well as discussion behaviors with adolescents scale. Model 1 showed for each discussion beliefs scale topic selected, family medicine physicians had 1.14 increased odds of endorsing annual visits (p < .001) and had 1.11 greater odds of endorsing annual visits with each one-point increase in discussion behaviors with parents scale (p = .51). Model 2 showed for each discussion beliefs scale topic selected, family medicine physicians had 1.15 increased odds of also endorsing the importance of annual visits (p < .001).

Conclusions

Family medicine physicians that endorse annual visits are significantly more likely to affirm they hold strong beliefs about topics that should be discussed during the annual exam. They also act on these beliefs by talking to parents of teens about these topics. This group appears to focus on quality of care in thought and deed.
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Metadata
Title
Perspectives of family medicine physicians on the importance of adolescent preventive care: a multivariate analysis
Authors
Jaime L. Taylor
Matthew C. Aalsma
Amy L. Gilbert
Devon J. Hensel
Vaughn I. Rickert
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2016
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-016-0402-6

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