Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks
To examine gaps in communication versus documentation of weight-management clinical practices, communication was recorded during primary care visits with 6- to 12-year-old overweight/obese Latino children. Communication/documentation content was coded by 3 reviewers using communication transcripts a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-02-01
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| Series: | Global Pediatric Health |
| Online Access: | https://doi.org/10.1177/2333794X16685190 |
| _version_ | 1828854570504159232 |
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| author | Christy B. Turer MD, MHS Sarah E. Barlow MD, MPH Sergio Montaño MD, MA Glenn Flores MD |
| author_facet | Christy B. Turer MD, MHS Sarah E. Barlow MD, MPH Sergio Montaño MD, MA Glenn Flores MD |
| author_sort | Christy B. Turer MD, MHS |
| collection | DOAJ |
| description | To examine gaps in communication versus documentation of weight-management clinical practices, communication was recorded during primary care visits with 6- to 12-year-old overweight/obese Latino children. Communication/documentation content was coded by 3 reviewers using communication transcripts and health-record documentation. Discrepancies in communication/documentation content codes were resolved through consensus. Bivariate/multivariable analyses examined factors associated with discrepancies in benchmark communication/documentation. Benchmarks were neither communicated nor documented in up to 42% of visits, and communicated but not documented or documented but not communicated in up to 20% of visits. Lowest benchmark performance rates were for laboratory studies (35%) and nutrition/weight-management referrals (42%). In multivariable analysis, overweight (vs obesity) was associated with 1.6 more discrepancies in communication versus documentation ( P = .03). Many weight-management benchmarks are not met, not documented, or performed without being communicated. Enhanced communication with families and documentation in health records may promote lifestyle changes in overweight children and higher quality care for overweight children in primary care. |
| first_indexed | 2024-12-13T00:35:23Z |
| format | Article |
| id | doaj.art-384bfb669ba0407586172c1d265ed361 |
| institution | Directory Open Access Journal |
| issn | 2333-794X |
| language | English |
| last_indexed | 2024-12-13T00:35:23Z |
| publishDate | 2017-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Pediatric Health |
| spelling | doaj.art-384bfb669ba0407586172c1d265ed3612022-12-22T00:05:13ZengSAGE PublishingGlobal Pediatric Health2333-794X2017-02-01410.1177/2333794X1668519010.1177_2333794X16685190Discrepancies in Communication Versus Documentation of Weight-Management BenchmarksChristy B. Turer MD, MHS0Sarah E. Barlow MD, MPH1Sergio Montaño MD, MA2Glenn Flores MD3Children’s Medical Center, Dallas, TX, USAChildren’s Medical Center, Dallas, TX, USAUNM Children’s Hospital, Albuquerque, NM, USADepartment of Health Sciences Research, Mayo Clinic, Rochester, MNTo examine gaps in communication versus documentation of weight-management clinical practices, communication was recorded during primary care visits with 6- to 12-year-old overweight/obese Latino children. Communication/documentation content was coded by 3 reviewers using communication transcripts and health-record documentation. Discrepancies in communication/documentation content codes were resolved through consensus. Bivariate/multivariable analyses examined factors associated with discrepancies in benchmark communication/documentation. Benchmarks were neither communicated nor documented in up to 42% of visits, and communicated but not documented or documented but not communicated in up to 20% of visits. Lowest benchmark performance rates were for laboratory studies (35%) and nutrition/weight-management referrals (42%). In multivariable analysis, overweight (vs obesity) was associated with 1.6 more discrepancies in communication versus documentation ( P = .03). Many weight-management benchmarks are not met, not documented, or performed without being communicated. Enhanced communication with families and documentation in health records may promote lifestyle changes in overweight children and higher quality care for overweight children in primary care.https://doi.org/10.1177/2333794X16685190 |
| spellingShingle | Christy B. Turer MD, MHS Sarah E. Barlow MD, MPH Sergio Montaño MD, MA Glenn Flores MD Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks Global Pediatric Health |
| title | Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks |
| title_full | Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks |
| title_fullStr | Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks |
| title_full_unstemmed | Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks |
| title_short | Discrepancies in Communication Versus Documentation of Weight-Management Benchmarks |
| title_sort | discrepancies in communication versus documentation of weight management benchmarks |
| url | https://doi.org/10.1177/2333794X16685190 |
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