Title of article :
How Accurate Is Diagnosis of Congenital Anomalies Made by Family Physicians?
Author/Authors :
Mashhadi Abdolahi، Hossein نويسنده Tabriz Health Services Management Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran , , Kargar Maher، Mohammad Hassan نويسنده Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. , , Karamouz، Majid نويسنده Tabriz Health Services Management Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran , , Afsharnia، Farzaneh نويسنده Tabriz District Health Centre, Tabriz University of Medical Sciences, Tabriz Iran , , Khosroshahi، Hossein نويسنده Tabriz District Health Centre, Tabriz University of Medical Sciences, Tabriz Iran , , Dastgiri، Saeed نويسنده ,
Issue Information :
دوفصلنامه با شماره پیاپی 0 سال 2014
Pages :
7
From page :
158
To page :
164
Abstract :
Background: Although family physicians have a key role in clinical management of many diseases and in community health, the accuracy of the diagnosis for congenital anomalies by family physicians still needs more investigations. The aim of this study was to assess the accuracy of family physicians in case detec-tion and diagnosis of congenital anomalies in rural areas, northwest of Iran. Methods: In a community-based study of 22500 children born between 2004 and 2012, all 172 cases of congenital anomalies diagnosed by family physicians were assessed by a qualified pediatrician in 47 health houses in rural areas of Tabriz District, northwest Iran. A group of 531 children was compared as con-trol subjects. Results: The overall sensitivity and specificity of family physicians? diagnosis for congenital anomalies were estimated 98% (95% Confidence Interval (CI): 95.9 to 100) and 100% (95% CI: 99.3 to 100), respectively. Sensitivity for diagnosis of congenital heart diseases was 97% (95% CI: 93 to 100), and for genitourinary tract, it was 86% (95% CI: 59 to 100). Specificity was estimated 100% for both groups of heart and genitourinary tract anomalies. Conclusion: The performance of family physicians was found accurate enough in the diagnosis of congenital anomalies. Health care system may consider family physician program as an effective approach to detect and clinical management of congenital anomalies.
Journal title :
Health Promotion Perspectives (HPP)
Serial Year :
2014
Journal title :
Health Promotion Perspectives (HPP)
Record number :
1984284
Link To Document :
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