Publications by authors named "M L Macy"

Background: Diagnostic stewardship is the effort to optimize diagnostic testing to reduce errors while avoiding overtesting and overtreatment. Abdominal pain and appendicitis in children are essential use cases. Delayed diagnosis of appendicitis can be dangerous and even life-threatening, but overtesting is harmful.

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Objectives: Outpatient follow-up visits are often recommended for children with ambulatory care-sensitive conditions (ACSCs) who are discharged from emergency departments or urgent care centers (acute care settings). We sought to assess whether attending a follow-up visit within 7 days is associated with seeking initial office-based care rather than acute care during a subsequent ACSC illness. Understanding this association is crucial to guide recommendations for routine short-term follow-up visits in children who seek acute care for these common conditions.

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Article Synopsis
  • The study aimed to understand parents' views on using home monitoring technologies for early childhood research, focusing on their concerns and enthusiasm.
  • Participants included new and expecting parents who took part in interviews about hypothetical studies involving wearable devices, audio monitoring, and environmental sampling.
  • Themes from the interviews indicated that while parents were generally positive about participation, they raised concerns about safety, data privacy, and the logistical challenges of involvement, highlighting the need for trust and transparency from researchers.
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Article Synopsis
  • The study investigates the division of responsibilities between mothers and fathers for healthcare-related tasks involving their children, revealing significant gender differences in these roles.
  • Data was collected from over 1,100 parents, showing that mothers are primarily responsible for scheduling appointments and taking children to healthcare visits, often more than twice as likely as fathers.
  • The findings suggest that pediatricians can encourage greater involvement from fathers in these tasks, potentially helping to shift societal norms regarding healthcare responsibilities in families.
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