Cited by 176Child and Adolescent HealthInfant Development and Preterm CareAdolescent and Pediatric Healthcare

How Do Primary Care Physicians Identify Young Children with Developmental Delays? A National Survey

SICES, LAURA, FEUDTNER, CHRIS, MCLAUGHLIN, JOHN, DROTAR, DENNIS, WILLIAMS, MICHELLE·2003·Journal of Developmental & Behavioral Pediatrics

Abstract

Little is known about the current practices of primary care physicians regarding developmental surveillance and screening during pediatric preventive care visits. We conducted a mailed survey of a random national sample of pediatricians and family physicians to describe their practices and identify factors that predict use of developmental screening tools, an efficacious way of identifying children with developmental delays. Most physicians reviewed developmental milestones and prompted parents for developmental concerns at preventive care visits. Approximately half of the physicians used a formal developmental screening instrument. Female physician gender predicted higher rates of use of screening tools for family physicians, but not for pediatricians. Most physicians seemed committed to the early diagnosis of developmental delays. Substantial variability in surveillance and screening practices, barriers of time and reimbursement, and under-reliance on parent-completed questionnaires underscore areas for improvement.

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Crossref · 10.1097/00004703-200312000-00002

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Authors
SICES, L., FEUDTNER, C., MCLAUGHLIN, J., DROTAR, D., & WILLIAMS, M.
Affiliations
University of Washington (US)
Venue
Journal of Developmental & Behavioral Pediatrics
Published
2003-12
Volume
24
Issue
6
Pages
409-417
ISSN
0196-206X (ISSN-L)
OpenAlex
W1970796936
Cited by
176
References
28
Citations by year
2026: 1 · 2025: 2 · 2024: 9 · 2023: 2 · 2022: 4 · 2021: 10 · 2020: 8 · 2019: 10 · 2018: 10 · 2017: 8 · 2016: 9 · 2015: 13 · 2014: 11 · 2013: 4 · 2012: 9
FWCI
13.72
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Developmental & Behavioral Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Agency for Healthcare Research and Quality (K08 HS00002)
  • U.S. Public Health Service (T73MC0004112)
Topics
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Keywords
developmental delay, developmental screening, child development monitoring, primary care physicians, pediatricians, general practitioners, preventive care visits, developmental milestones, parent-completed questionnaires, physician gender, early diagnosis
MeSH terms
Adult, Child, Developmental Disabilities, Cross-Sectional Studies, Diagnosis, Differential, Female, Humans, Male, Mass Screening, Middle Aged, Pediatrics, Practice Patterns, Physicians', Preventive Health Services, Primary Health Care, Surveys and Questionnaires, Sex Factors

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