학술논문
Perceptions on Management of Atopic Dermatitis in Children Under 2 Years by Community Pediatricians: A Focus Group Study.
Document Type
Article
Author
Source
Subject
*ATOPIC dermatitis treatment
*STATISTICS
*FOCUS groups
*ADRENOCORTICAL hormones
*CAREGIVERS
*HEALTH services accessibility
*ATTITUDES of medical personnel
*RESEARCH methodology
*SKIN care
*COMMUNITY health services
*FEAR
*PRIMARY health care
*QUALITATIVE research
*PSYCHOLOGY of caregivers
*RESEARCH funding
*ELECTRONIC health records
*CUTANEOUS therapeutics
*STATISTICAL sampling
*NURSE practitioners
*THEMATIC analysis
*LONGITUDINAL method
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Language
ISSN
0009-9228
Abstract
Atopic dermatitis (AD) is a common skin condition and is undertreated in children under 2 years, whom there are no specific guidelines for. We sought to understand barriers to AD treatment and primary care pediatricians' (PCPs) suggested solutions. We conducted semi-structured focus groups (n = 5) with PCPs (n = 17) on how the undertreatment of AD can be addressed. Data were analyzed using an inductive qualitative approach. Participants noted that the perceived undertreatment of AD in children under 2 years could be explained by topical corticosteroid (TCS) use hesitancy, lack of caregiver adherence to PCP recommendations, and under-documentation of AD in the electronic medical record (EMR). Proposed suggestions for improving AD management included caregiver and PCP education on TCS safety; stepwise management guidelines for this age group; and EMR aids to help document and manage AD. Research is warranted to create and disseminate clinician-friendly AD management guidelines for this age group. [ABSTRACT FROM AUTHOR]