How Do Primary Care Physicians Identify Young Children with Developmental Delays? A National Survey
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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The majority of DLD cases in children are thought to remain unidentified.
“Additionally, the majority of DLD cases in children are thought to remain unidentified, further indicating a great need to improve the early detection process by establishing risk factors [10,15–17].”
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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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