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An update on assessing development in the pediatric office: has anything changed after two policy statements?
Alma D Guerrero1, Nicole Garro, John T Chang
1UCLA Center for Healthier Children, Families and Communities, Los Angeles, Calif 90024, USA. aguerrero@mednet.ucla.edu
Academic Pediatrics
|November 16, 2010
Summary
Parental receipt of developmental questionnaires for child development assessments (DA) is low. Public insurance, clinics, and family-centered care were associated with higher rates, indicating areas for improved preventive care delivery.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Health Services Research
Background:
- Child developmental assessments (DA) are crucial for early detection of developmental delays.
- Preventive care includes evaluating child development through various screening tools.
- Understanding factors influencing DA receipt is vital for improving child health outcomes.
Purpose of the Study:
- To examine parental reports of receiving child developmental assessments (DA).
- To identify child, family, and healthcare setting characteristics associated with DA receipt.
- To explore the role of well-child care processes in developmental screening.
Main Methods:
- Utilized the 2007 National Survey of Children's Health (NSCH).
- Analyzed data from 16,223 children aged 10 months to 4 years.
- Adjusted for child, family, healthcare setting, and care process variables.
Main Results:
- Only 28% of children received a developmental questionnaire.
- Children with public insurance had higher odds of receiving a DA compared to privately insured or uninsured children.
- Adequate family-centered care and care at clinics/health centers were associated with increased DA receipt.
Conclusions:
- Parental receipt of developmental questionnaires is suboptimal and influenced by insurance type, usual care setting, and family-centered care adequacy.
- Significant disparities exist in developmental assessment delivery.
- Further research is needed to optimize developmental assessment practices and ensure equitable access to preventive care.
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