Document 0691
 DOCN  M9550691
 TI    Office laboratory procedures, economics of practice, patient and parent
       education, and urinary tract infection.
 DT    9505
 AU    Ey JL; Aldous MB; Duncan B; Williams RL; University of Arizona College
       of Medicine, Department of; Pediatrics, Tucson 85724.
 SO    Curr Opin Pediatr. 1994 Dec;6(6):717-28. Unique Identifier : AIDSLINE
       MED/95152652
 AB    This review highlights recent advances in four major areas that are
       relevant to office practice: office laboratory procedures, economics of
       practice, adolescent risk-taking behavior in terms of sexually
       transmitted diseases, and urinary tract infections. Who should be
       screened for diseases and where these screening tests should be done are
       addressed, keeping the practicing pediatrician in mind. Next we review
       current office economics, including whether professional courtesy should
       be continued, how our practices are going to be increasingly influenced
       by guidelines developed by the American Academy of Pediatrics, the
       Clinical Laboratory Improvement Amendments, and the new Clinton Health
       Plan if it survives Congress, and finally how all of these issues will
       affect our expected income in the years ahead. As pediatricians strive
       to retain adolescent patients in their practices, they will need to find
       appropriate ways of counseling these patients concerning risk behaviors
       that could result in sexually transmitted diseases or HIV infections.
       Should we leave the comfortable confines of our offices to participate
       in these counseling programs for adolescents, and are there lessons from
       existing successful International Health Programs that we can use?
       Finally, urinary tract infections (UTIs) continue to be a common cause
       of childhood infections with possible serious long-term sequelae. Can we
       do a better job of diagnosing UTIs, has improved treatment become
       available, and is prevention of recurrences possible? Once the diagnosis
       has been made, how can we best evaluate these children with UTIs for
       underlying urologic abnormalities? It is our hope that the practicing
       pediatrician will be better prepared to face these issues having read
       this review.
 DE    Adolescence  Child  *Diagnosis, Laboratory  Female  Human  Male
       Parents/*EDUCATION  *Patient Education  *Pediatrics  *Practice
       Management, Medical  Risk-Taking  Sex Education  Sexually Transmitted
       Diseases/PREVENTION & CONTROL  Urinary Tract Infections/*THERAPY
       JOURNAL ARTICLE  REVIEW  REVIEW LITERATURE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).