Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

The Pediatric Practice of the Child Health Associate

The Pediatric Practice of the Child Health Associate Abstract • Child health associates are individuals who have completed the three-year Child Health Associate Program at the University of Colorado School of Medicine and are certified by the Colorado State Board of Medical Examiners to practice pediatrics under physician supervision. To our knowledge, this study is the first to describe the practice profile of child health associates. We found them able to provide health care services without direct physician assistance to 91.4% (2,160 of 2,363) of pediatric patients in ambulatory settings. They saw the same variety of patients as primary physicians and identified a broad range of common pediatric problems. Each supervising physician spent an average time of 5.9 minutes with the child health associate in evaluating the 8.6% of patients who required consultation. The child health associate is fully able to serve as a primary health care practitioner for children. (Am J Dis Child 131:634-637, 1977) References 1. Silver HK, Ford LC, Day LR: The pediatric nurse practitioner program . JAMA 204:298-302, 1968.Crossref 2. Greenberg RA, Loda FA, Pickard CG, et al: Primary child health care by family nurse practitioners . Pediatrics 53:900-905, 1974. 3. Silver HK: The school nurse practitioner program . JAMA 216:1332-1334, 1970.Crossref 4. Silver HK, Ott JE: The child health associate: New health professionals to provide comprehensive health care to children . Pediatrics 51:1-7, 1973. 5. The child health associate, Department of Health Manpower . JAMA 212:1045-1046, 1970.Crossref 6. Silver HK, Hecker JA: The child health associate . Hospitals 44:47-49, 1970. 7. Sells CJ, Herdener RS: Medex: A time-motion study . Pediatrics 56:255-261, 1975. 8. Stead EA Jr: The Duke plan for medical assistants . Med Times 95:40-43, 1967. 9. Silver HK: New allied health professionals: Implication of the Colorado Child Health Associate Law . N Engl J Med 284:304-307, 1971.Crossref 10. Ott JE: Preliminary data on the economics of the child health associate in practice. Read before the American Academy of Pediatrics, Denver, March 23, 1975. 11. Machotka P, Ott JE, Moon JB, et al: Competence of child health associates: I. Comparison of their basic science and clinical knowledge with that of medical students and pediatric residents . Am J Dis Child 125:199-203, 1973.Crossref 12. Ott JE, Moon JB, Machotka P: Clinical competence of child health associates: Comparison of history taking and interpretive skills with that of medical students and pediatric residents, abstracted. Ambulatory Pediatric Association, Washington, DC, May 20, 1972. 13. Moon JB, Ott JE, Machotka P: Clinical competence of child health associates: III. Comparison of their diagnostic skills with those of medical student and pediatric house officers. Read before the Ambulatory Pediatric Association, Washington, DC, 1972. 14. Fine LL, Silver HK: Comparative diagnostic abilities of child health associate interns and practicing pediatricians . J Pediatr 83:332-335, 1973.Crossref 15. Dungy CI: The child health associate: New image in the nursery . Am J Public Health 65:1179-1183, 1975.Crossref 16. Charney E, Kitzman H: The child health nurse (pediatric nurse practitioner) in private practice . N Engl J Med 285:1353-1358, 1971.Crossref 17. Schiff DW, Fraser CH, Walters HL: The pediatric nurse practitioner in the office of pediatricians in private practice . Pediatrics 44:62-68, 1969. 18. Duncan B, Smith AN, Silver HK: Comparison of the physical assessment of children by pediatric nurse practitioners and pediatricians . Am J Public Health 61:1170-1176, 1971.Crossref 19. Chappell JA, Drogos PA: Evaluation of infant health care by a nurse practitioner . Pediatrics 49:871-877, 1972. 20. Day LR, Egli R, Silver HK: Acceptance of pediatric nurse practitioners: Parents' opinion of combined care by a pediatrician and a pediatric nurse practitioner in a private practice . Am J Dis Child 119:204-208, 1970.Crossref 21. Silver HK: Use of new types of allied health professionals in providing care for children . Am J Dis Child 116:486-490, 1968. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

The Pediatric Practice of the Child Health Associate

American Journal of Diseases of Children , Volume 131 (6) – Jun 1, 1977

Loading next page...
 
/lp/american-medical-association/the-pediatric-practice-of-the-child-health-associate-9jn0yzhF0v
Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1977.02120190028005
Publisher site
See Article on Publisher Site

Abstract

Abstract • Child health associates are individuals who have completed the three-year Child Health Associate Program at the University of Colorado School of Medicine and are certified by the Colorado State Board of Medical Examiners to practice pediatrics under physician supervision. To our knowledge, this study is the first to describe the practice profile of child health associates. We found them able to provide health care services without direct physician assistance to 91.4% (2,160 of 2,363) of pediatric patients in ambulatory settings. They saw the same variety of patients as primary physicians and identified a broad range of common pediatric problems. Each supervising physician spent an average time of 5.9 minutes with the child health associate in evaluating the 8.6% of patients who required consultation. The child health associate is fully able to serve as a primary health care practitioner for children. (Am J Dis Child 131:634-637, 1977) References 1. Silver HK, Ford LC, Day LR: The pediatric nurse practitioner program . JAMA 204:298-302, 1968.Crossref 2. Greenberg RA, Loda FA, Pickard CG, et al: Primary child health care by family nurse practitioners . Pediatrics 53:900-905, 1974. 3. Silver HK: The school nurse practitioner program . JAMA 216:1332-1334, 1970.Crossref 4. Silver HK, Ott JE: The child health associate: New health professionals to provide comprehensive health care to children . Pediatrics 51:1-7, 1973. 5. The child health associate, Department of Health Manpower . JAMA 212:1045-1046, 1970.Crossref 6. Silver HK, Hecker JA: The child health associate . Hospitals 44:47-49, 1970. 7. Sells CJ, Herdener RS: Medex: A time-motion study . Pediatrics 56:255-261, 1975. 8. Stead EA Jr: The Duke plan for medical assistants . Med Times 95:40-43, 1967. 9. Silver HK: New allied health professionals: Implication of the Colorado Child Health Associate Law . N Engl J Med 284:304-307, 1971.Crossref 10. Ott JE: Preliminary data on the economics of the child health associate in practice. Read before the American Academy of Pediatrics, Denver, March 23, 1975. 11. Machotka P, Ott JE, Moon JB, et al: Competence of child health associates: I. Comparison of their basic science and clinical knowledge with that of medical students and pediatric residents . Am J Dis Child 125:199-203, 1973.Crossref 12. Ott JE, Moon JB, Machotka P: Clinical competence of child health associates: Comparison of history taking and interpretive skills with that of medical students and pediatric residents, abstracted. Ambulatory Pediatric Association, Washington, DC, May 20, 1972. 13. Moon JB, Ott JE, Machotka P: Clinical competence of child health associates: III. Comparison of their diagnostic skills with those of medical student and pediatric house officers. Read before the Ambulatory Pediatric Association, Washington, DC, 1972. 14. Fine LL, Silver HK: Comparative diagnostic abilities of child health associate interns and practicing pediatricians . J Pediatr 83:332-335, 1973.Crossref 15. Dungy CI: The child health associate: New image in the nursery . Am J Public Health 65:1179-1183, 1975.Crossref 16. Charney E, Kitzman H: The child health nurse (pediatric nurse practitioner) in private practice . N Engl J Med 285:1353-1358, 1971.Crossref 17. Schiff DW, Fraser CH, Walters HL: The pediatric nurse practitioner in the office of pediatricians in private practice . Pediatrics 44:62-68, 1969. 18. Duncan B, Smith AN, Silver HK: Comparison of the physical assessment of children by pediatric nurse practitioners and pediatricians . Am J Public Health 61:1170-1176, 1971.Crossref 19. Chappell JA, Drogos PA: Evaluation of infant health care by a nurse practitioner . Pediatrics 49:871-877, 1972. 20. Day LR, Egli R, Silver HK: Acceptance of pediatric nurse practitioners: Parents' opinion of combined care by a pediatrician and a pediatric nurse practitioner in a private practice . Am J Dis Child 119:204-208, 1970.Crossref 21. Silver HK: Use of new types of allied health professionals in providing care for children . Am J Dis Child 116:486-490, 1968.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1977

References