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Opportunistic developmental surveillance in general practice.

H L Houston1, K Santos, R H Davis

  • 1Department of General Practice, University of Wales College of Medicine.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|June 1, 1990
PubMed
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Opportunistic developmental surveillance in general practice is effective. An audit found 95% of infants were assessed by age one, with 81% of young children recently assessed, showing favorable results for child development monitoring.

Area of Science:

  • Pediatrics
  • General Practice
  • Child Development

Background:

  • Developmental surveillance of children is crucial for early intervention and health.
  • General practices can utilize opportunistic surveillance during routine visits.
  • This method involves assessing child development and providing parental guidance.

Purpose of the Study:

  • To audit the effectiveness of opportunistic developmental surveillance in a general practice setting.
  • To evaluate the coverage and recency of developmental assessments for young children.
  • To compare surveillance rates with established clinic attendance figures.

Main Methods:

  • An audit of opportunistic developmental surveillance was conducted in one general practice.
  • A cohort of 78 children was tracked for developmental assessments.

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  • Assessment rates were recorded at specific time points (one and two years).

    • Main Results:

    • 95% of the studied children (n=78) received at least one developmental assessment by their first birthday.
    • At two study points, 81% of children aged two years or younger had recent assessments.
    • These surveillance rates favorably compare with reported clinic attendance data.

    Conclusions:

    • Opportunistic developmental surveillance in general practice demonstrates high coverage and recency.
    • This approach is a viable and effective method for monitoring child development.
    • General practices can successfully implement developmental surveillance, supporting pediatric health outcomes.