چکیده (انگلیسی):

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.