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Assessing development in the pediatric office.

Neal Halfon1, Michael Regalado, Harvinder Sareen

  • 1UCLA Schools of Medicine and Public Health, Los Angeles, California, USA. nhalfon@ucla.edu

Pediatrics
|June 3, 2004
PubMed
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Many children aged 10 to 35 months do not receive routine developmental assessments (DA). Children receiving DAs are more likely to receive other services and have parents reporting higher satisfaction with care.

Area of Science:

  • Pediatric Health
  • Child Development
  • Healthcare Quality

Background:

  • Developmental assessments (DA) are recommended for children aged 10 to 35 months.
  • Little is known about the proportion of children receiving DAs and associated factors.

Purpose of the Study:

  • Determine the prevalence of developmental assessments (DA) in children aged 10 to 35 months.
  • Examine child, family, and healthcare setting characteristics associated with DA receipt.

Main Methods:

  • Utilized data from the 2000 National Survey of Early Childhood Health (n=2068 parents).
  • Defined DA receipt based on parent recall of provider communication or specific developmental tasks.
  • Assessed associations with child, family, healthcare access, process, quality, and satisfaction measures.

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Main Results:

  • Approximately 57% of children aged 10 to 35 months ever received a DA.
  • DA receipt was not significantly associated with most sociodemographic factors, except for race/ethnicity.
  • Children receiving DAs had parents reporting more adequate visit time, longer visits, higher family-centered care ratings, and greater satisfaction.
  • DA receipt was associated with longer provider visits and less likely in community health centers compared to private offices.

Conclusions:

  • Despite guidelines, many children do not receive recommended developmental assessments (DA).
  • Children receiving DAs are more likely to access other developmental services.
  • Parents of children receiving DAs report higher satisfaction and better perceived quality of well-child care, indicating potential disparities in care quality.