Ed. Crandall et al., THE ROLE OF THE PEDIATRIC PULMONARY PHYSICIAN IN THE AMERICAN HEALTH-CARE SYSTEM, American journal of respiratory and critical care medicine, 155(4), 1997, pp. 1486-1488
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Language
INGLESE
art.tipo
Article
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
The pediatric pulmonary physician (PPP) represents a unique regional s
ubspecialty resource for health care providers and for children with b
reathing disorders and their families. There are currently fewer than
600 board certified PPPs in the United States; they are distributed th
roughout the country, predominantly in large urban population centers.
There is one pediatric pulmonologist for every 280,000 children in th
e United States. Eighty-five percent are either in full-time academic
positions or affiliated with medical school-related service and traini
ng programs. Fifteen percent are exclusively in private practice. Pedi
atric pulmonary physicians interface with primary care practitioners t
o provide consultative evaluation and comprehensive management of chil
dren with challenging, uncommon, complex, and/or severe respiratory co
nditions. They also interface with pulmonologists in internal medicine
to ensure a continuum of care for children with respiratory problems
once they reach adulthood. The vast majority serve in multiple capacit
ies, providing clinical services, teaching health care professionals a
nd trainees, conducting research, and providing: medical direction for
pediatric pulmonary function, exercise, and sleep laboratories and pe
diatric departments of respiratory care. This document describes the t
raining of the pediatric pulmonary physician and the roles of the PPP
as an integral member of the American health care system. It emphasize
s the relationships that the PPP has with health care professionals, c
ommunity agencies, hospitals, and with the children and their families
.