A Workforce Survey on Developmental-Behavioral Pediatrics

Carolyn Bridgemohan1, Nerissa S Bauer2, Britt A Nielsen3

  • 1Department of Medicine, Boston Children's Hospital and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; carolyn.bridgemohan@childrens.harvard.edu.

Pediatrics
|February 18, 2018
PubMed

Insights

The developmental-behavioral pediatric workforce faces significant challenges meeting demand due to long wait times and clinician burnout. Strategies are needed to expand the workforce and improve efficiency.

Area of Science:

  • Pediatric Subspecialties
  • Healthcare Workforce Analysis
  • Child Development

Background:

  • Developmental-behavioral conditions affect approximately 15% of US children.
  • Increasing prevalence and complexity of these conditions strain existing resources.
  • Long wait times and a limited provider pipeline exacerbate access issues.

Purpose of the Study:

  • To assess current practices within the developmental-behavioral pediatric (DBP) workforce.
  • To identify workforce trends and future needs in DBP.
  • To understand the challenges faced by DBP providers.

Main Methods:

  • An electronic survey was distributed to 1568 members of key professional organizations.
  • The survey targeted physicians and nurse practitioners in developmental-behavioral pediatrics.
  • A response rate of 48% was achieved.

Main Results:

  • The DBP workforce reported long appointment wait times and clinician burnout.
  • Respondents noted increased patient complexity and significant non-reimbursed clinical care time.
  • Physicians are nearing retirement, while nurse practitioners are earlier in their careers.
  • Female subspecialists dedicated more time to both billable and non-billable clinical activities.

Conclusions:

  • The DBP workforce is struggling to meet service demands.
  • Addressing long wait times, patient complexity, and non-reimbursed care is critical.
  • Future planning must consider sex-based practice differences and implement strategies for workforce sustainability and burnout prevention.
Abstract

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