Unmet need for pediatric cardiology services and correlates of referral in Ontario, 1975–1977
Identifieur interne : 005118 ( Main/Exploration ); précédent : 005117; suivant : 005119Unmet need for pediatric cardiology services and correlates of referral in Ontario, 1975–1977
Auteurs : David H. Cook [Canada] ; Teruo Izukawa [Canada] ; H. Connor Mulholland [Royaume-Uni] ; John Fay [Canada] ; Mok-Dock Li [Canada] ; Frank Sellers [Canada] ; Otto H. P. Teixeira [Canada] ; Vera Rose [Canada] ; Richard D. Rowe [Canada]Source :
- Pediatric Cardiology [ 0172-0643 ] ; 1982-12-01.
Abstract
Summary: We collected data on 930 neonates with structural congenital heart disease seen during 1975–1977 at the existing pediatric cardiac referral and treatment centers in Ontario. Estimates were made of unmet need for pediatric cardiology services in Ontario. The data showed that a number of counties had significantly low referral rates and that at least 25% of the newborns with severe structural heart disease (that is, 75 newborns each year) were not seen by pediatric cardiologists, although the children would benefit from prompt assessment and rapid treatment under specialist supervision.
Url:
DOI: 10.1007/BF02427027
Affiliations:
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Connor Mulholland</name></author><author><name sortKey="Fay, John" sort="Fay, John" uniqKey="Fay J" first="John" last="Fay">John Fay</name></author><author><name sortKey="Li, Mok Dock" sort="Li, Mok Dock" uniqKey="Li M" first="Mok-Dock" last="Li">Mok-Dock Li</name></author><author><name sortKey="Sellers, Frank" sort="Sellers, Frank" uniqKey="Sellers F" first="Frank" last="Sellers">Frank Sellers</name></author><author><name sortKey="Teixeira, Otto H P" sort="Teixeira, Otto H P" uniqKey="Teixeira O" first="Otto H. P." last="Teixeira">Otto H. P. Teixeira</name></author><author><name sortKey="Rose, Vera" sort="Rose, Vera" uniqKey="Rose V" first="Vera" last="Rose">Vera Rose</name></author><author><name sortKey="Rowe, Richard D" sort="Rowe, Richard D" uniqKey="Rowe R" first="Richard D." last="Rowe">Richard D. 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Cook</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Izukawa, Teruo" sort="Izukawa, Teruo" uniqKey="Izukawa T" first="Teruo" last="Izukawa">Teruo Izukawa</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Mulholland, H Connor" sort="Mulholland, H Connor" uniqKey="Mulholland H" first="H. Connor" last="Mulholland">H. Connor Mulholland</name><affiliation wicri:level="2"><country>Royaume-Uni</country><placeName><region type="country">Irlande du Nord</region></placeName><wicri:cityArea>Royal Belfast Hospital for Sick Children, Belfast</wicri:cityArea></affiliation></author><author><name sortKey="Fay, John" sort="Fay, John" uniqKey="Fay J" first="John" last="Fay">John Fay</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Li, Mok Dock" sort="Li, Mok Dock" uniqKey="Li M" first="Mok-Dock" last="Li">Mok-Dock Li</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Sellers, Frank" sort="Sellers, Frank" uniqKey="Sellers F" first="Frank" last="Sellers">Frank Sellers</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Teixeira, Otto H P" sort="Teixeira, Otto H P" uniqKey="Teixeira O" first="Otto H. P." last="Teixeira">Otto H. P. Teixeira</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Rose, Vera" sort="Rose, Vera" uniqKey="Rose V" first="Vera" last="Rose">Vera Rose</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Rowe, Richard D" sort="Rowe, Richard D" uniqKey="Rowe R" first="Richard D." last="Rowe">Richard D. Rowe</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Department of Paediatrics, Kingston General Hospital, Kingston</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>War Memorial Children's Hospital, London</wicri:cityArea></affiliation><affiliation wicri:level="2"><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Section of Paediatric Cardiology, Children's Hospital of Eastern Ontario, Ottawa</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Pediatric Cardiology</title><title level="j" type="abbrev">Pediatr Cardiol</title><idno type="ISSN">0172-0643</idno><idno type="eISSN">1432-1971</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>New York</pubPlace><date type="published" when="1982-12-01">1982-12-01</date><biblScope unit="volume">3</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="275">275</biblScope><biblScope unit="page" to="282">282</biblScope></imprint><idno type="ISSN">0172-0643</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0172-0643</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Summary: We collected data on 930 neonates with structural congenital heart disease seen during 1975–1977 at the existing pediatric cardiac referral and treatment centers in Ontario. Estimates were made of unmet need for pediatric cardiology services in Ontario. The data showed that a number of counties had significantly low referral rates and that at least 25% of the newborns with severe structural heart disease (that is, 75 newborns each year) were not seen by pediatric cardiologists, although the children would benefit from prompt assessment and rapid treatment under specialist supervision.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Royaume-Uni</li></country><region><li>Irlande du Nord</li><li>Ontario</li></region></list><tree><country name="Canada"><noRegion><name sortKey="Cook, David H" sort="Cook, David H" uniqKey="Cook D" first="David H." last="Cook">David H. Cook</name></noRegion><name sortKey="Cook, David H" sort="Cook, David H" uniqKey="Cook D" first="David H." last="Cook">David H. Cook</name><name sortKey="Cook, David H" sort="Cook, David H" uniqKey="Cook D" first="David H." last="Cook">David H. Cook</name><name sortKey="Cook, David H" sort="Cook, David H" uniqKey="Cook D" first="David H." last="Cook">David H. Cook</name><name sortKey="Fay, John" sort="Fay, John" uniqKey="Fay J" first="John" last="Fay">John Fay</name><name sortKey="Fay, John" sort="Fay, John" uniqKey="Fay J" first="John" last="Fay">John Fay</name><name sortKey="Fay, John" sort="Fay, John" uniqKey="Fay J" first="John" last="Fay">John Fay</name><name sortKey="Fay, John" sort="Fay, John" uniqKey="Fay J" first="John" last="Fay">John Fay</name><name sortKey="Izukawa, Teruo" sort="Izukawa, Teruo" uniqKey="Izukawa T" first="Teruo" last="Izukawa">Teruo Izukawa</name><name sortKey="Izukawa, Teruo" sort="Izukawa, Teruo" uniqKey="Izukawa T" first="Teruo" last="Izukawa">Teruo Izukawa</name><name sortKey="Izukawa, Teruo" sort="Izukawa, Teruo" uniqKey="Izukawa T" first="Teruo" last="Izukawa">Teruo Izukawa</name><name sortKey="Izukawa, Teruo" sort="Izukawa, Teruo" uniqKey="Izukawa T" first="Teruo" last="Izukawa">Teruo Izukawa</name><name sortKey="Li, Mok Dock" sort="Li, Mok Dock" uniqKey="Li M" first="Mok-Dock" last="Li">Mok-Dock Li</name><name sortKey="Li, Mok Dock" sort="Li, Mok Dock" uniqKey="Li M" first="Mok-Dock" last="Li">Mok-Dock Li</name><name sortKey="Li, Mok Dock" sort="Li, Mok Dock" uniqKey="Li M" first="Mok-Dock" last="Li">Mok-Dock Li</name><name sortKey="Li, Mok Dock" sort="Li, Mok Dock" uniqKey="Li M" first="Mok-Dock" last="Li">Mok-Dock Li</name><name sortKey="Rose, Vera" sort="Rose, Vera" uniqKey="Rose V" first="Vera" last="Rose">Vera Rose</name><name sortKey="Rose, Vera" sort="Rose, Vera" uniqKey="Rose V" first="Vera" last="Rose">Vera Rose</name><name sortKey="Rose, Vera" sort="Rose, Vera" uniqKey="Rose V" first="Vera" last="Rose">Vera Rose</name><name sortKey="Rose, Vera" sort="Rose, Vera" uniqKey="Rose V" first="Vera" last="Rose">Vera Rose</name><name sortKey="Rowe, Richard D" sort="Rowe, Richard D" uniqKey="Rowe R" first="Richard D." last="Rowe">Richard D. Rowe</name><name sortKey="Rowe, Richard D" sort="Rowe, Richard D" uniqKey="Rowe R" first="Richard D." last="Rowe">Richard D. Rowe</name><name sortKey="Rowe, Richard D" sort="Rowe, Richard D" uniqKey="Rowe R" first="Richard D." last="Rowe">Richard D. Rowe</name><name sortKey="Rowe, Richard D" sort="Rowe, Richard D" uniqKey="Rowe R" first="Richard D." last="Rowe">Richard D. Rowe</name><name sortKey="Sellers, Frank" sort="Sellers, Frank" uniqKey="Sellers F" first="Frank" last="Sellers">Frank Sellers</name><name sortKey="Sellers, Frank" sort="Sellers, Frank" uniqKey="Sellers F" first="Frank" last="Sellers">Frank Sellers</name><name sortKey="Sellers, Frank" sort="Sellers, Frank" uniqKey="Sellers F" first="Frank" last="Sellers">Frank Sellers</name><name sortKey="Sellers, Frank" sort="Sellers, Frank" uniqKey="Sellers F" first="Frank" last="Sellers">Frank Sellers</name><name sortKey="Teixeira, Otto H P" sort="Teixeira, Otto H P" uniqKey="Teixeira O" first="Otto H. P." last="Teixeira">Otto H. P. Teixeira</name><name sortKey="Teixeira, Otto H P" sort="Teixeira, Otto H P" uniqKey="Teixeira O" first="Otto H. P." last="Teixeira">Otto H. P. Teixeira</name><name sortKey="Teixeira, Otto H P" sort="Teixeira, Otto H P" uniqKey="Teixeira O" first="Otto H. P." last="Teixeira">Otto H. P. Teixeira</name><name sortKey="Teixeira, Otto H P" sort="Teixeira, Otto H P" uniqKey="Teixeira O" first="Otto H. P." last="Teixeira">Otto H. P. Teixeira</name></country><country name="Royaume-Uni"><region name="Irlande du Nord"><name sortKey="Mulholland, H Connor" sort="Mulholland, H Connor" uniqKey="Mulholland H" first="H. Connor" last="Mulholland">H. Connor Mulholland</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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