Publications by authors named "Kathryn E Fant"

Objective: To evaluate current rules and regulations for educating parents about newborn screening.

Design: Cross-sectional survey.

Sample: Newborn screening program coordinators in all 50 states and the District of Columbia.

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Purpose To determine how practicing physicians who graduated from internal medicine-pediatrics residency programs allocate their practice time and professional activities between adult and child patients, and to investigate whether there are predictors of the extent to which a particular physician's practice is more or less focused on one or the other of these patient groups. Method In 2003, the authors mailed a questionnaire to the 1,300 generalists and 472 subspecialists who, as of 2003, had completed internal medicine-pediatrics training since the inception of the program in 1980. Results The response rate was 73% for the generalists and 65% for the subspecialists.

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Background: Federal regulations mandate that Medicaid-enrolled children be tested for lead poisoning at the age of 1 and 2 years or 3 through 5 years if not previously tested.

Objectives: To measure the rate of blood lead testing among Medicaid-enrolled children in Michigan and the subsequent proportion of children with elevated lead levels and to determine factors associated with testing and elevated lead levels.

Methods: We performed a retrospective analysis of children aged 5 years or younger continuously enrolled in Michigan Medicaid during 2002.

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Context: Follow-up testing after an abnormal screening blood lead level is a key component of lead poisoning prevention.

Objectives: To measure the proportion of children with elevated screening lead levels who have follow-up testing and to determine factors associated with such care.

Design, Setting, And Participants: Retrospective, observational cohort study of 3682 Michigan Medicaid-enrolled children aged 6 years or younger who had a screening blood lead level of at least 10 microg/dL (0.

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Background: In 2000, the American Academy of Pediatrics (AAP) Task Force on Newborn Screening published a blueprint for the future of newborn screening that included recommendations for information provided to parents about screening.

Objectives: To evaluate the completeness of educational material provided by newborn-screening programs and to measure the reading level and complexity of the material.

Methods: Telephone survey of newborn-screening programs (n = 51) followed by content analysis of educational material.

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Objectives: Several guidelines have been published for the care of children with attention-deficit/hyperactivity disorder (ADHD); however, few data describe adoption of practice guidelines. Our study sought 1) to describe primary care diagnosis and management of ADHD, 2) to determine whether the care is in accordance with American Academy of Pediatrics (AAP) practice guidelines, and 3) to describe factors associated with guideline adherence.

Methods: We conducted a mail survey of 1374 primary care physicians in Michigan.

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Background: Hearing and vision screening programs for school-aged children are common, yet little is known about their impact.

Objective: To evaluate Michigan's screening program, in which local health department (LHD) staff screen school-aged children using standardized protocols.

Methods: This project was completed in three phases: interviews with officials and screening technicians from ten LHDs, audit of LHD records regarding outcomes of screening during the 2000-2001 school year, and telephone interviews with randomly selected parents of children with an abnormal screen.

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Background: Kentucky legislation now requires that children entering public school receive a diagnostic eye examination.

Methods: Mail survey of randomly selected office-based primary care pediatricians (PDs, n = 221) and family physicians (FPs, n = 207) in Kentucky to assess the impact of the mandated eye examination.

Results: The response rate was 71% PDs and 51% FPs.

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