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Health Supervision Visits of Very Young Children: Time Addressing 3 Key Topics

Department of Pediatrics, Children's Memorial Hospital

Adolfo J. Ariza, MD

Department of Pediatrics, Children's Memorial Hospital, Mary Ann and J. Milburn Smith Child Health Research Program, Children's Memorial Research Center, Department of Pediatrics, Northwestern University

Tara K. Massimino, MA

Mary Ann and J. Milburn Smith Child Health Research Program, Children's Memorial Research Center

Helen J. Binns, MD, MPH

Department of Pediatrics, Children's Memorial Hospital, hbinns{at}northwestern.edu, Mary Ann and J. Milburn Smith Child Health Research Program, Children's Memorial Research Center, Department of Pediatrics, Northwestern University, Department of Preventive Medicine, Northwestern University Chicago, Illinois

for the Pediatric Practice Research Group

Objective. To describe the time and actions on 3 key health topics during health supervision (HS) visits of children aged 0 to 1 years. Method. HS visits were observed at 5 offices. Parents provided demographics and children’s measurements were obtained. Using special computer software, visits were observed for frequency and time for growth measurements, charting and interpretations, and for discussions on growth, diet, and safety. Results. A total of 128 visits were analyzed. Almost all children had weight (100%) and height (98%) measured and >80% had weight-for-age and height-for-age plotted. Growth interpretation (weight-for-height) was determined for 1 child. Nearly all visits included discussions of growth (88%), diet (97%), and safety (84%). When a topic was addressed, median times were as follows: growth, 9 seconds; diet, 42 seconds; and safety, 22 seconds. Median time on all 3 topics was 86 seconds. Conclusion. Growth, diet, and safety are frequently, but briefly, discussed at HS visits of young children.

Key Words: preventive health care • well child care • health supervision • use of time • infants • toddlers • growth • diet • safety

This version was published on November 1, 2009

Clinical Pediatrics, Vol. 48, No. 9, 931-938 (2009)
DOI: 10.1177/0009922809337530


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