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

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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

DOI 10.1097/00004703-200312000-00002

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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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Authors: SICES, L., FEUDTNER, C., MCLAUGHLIN, J., DROTAR, D., & WILLIAMS, M.
Affiliations: University of Washington (US)
ORCID: FEUDTNER, CHRIS
WILLIAMS, MICHELLE
Venue: Journal of Developmental & Behavioral Pediatrics
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2003-12
Volume: 24
Issue: 6
Pages: 409-417
ISSN: 0196-206X (ISSN-L)
DOI: 10.1097/00004703-200312000-00002
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 › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › 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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How Do Primary Care Physicians Identify Young Children with Developmental Delays? A National Survey

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