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Attention-deficit hyperactivity disorder. Management by family physicians
1Department of Family and Community Medicine, University of Kansas School of Medicine, Wichita.
Archives of Family Medicine
|March 1, 1995
Summary
Family physicians manage significant attention-deficit/hyperactivity disorder (ADHD) patient care, with most comfortable in their referral support. Many rely on clinical evaluation over specialized tests for ADHD diagnosis and treatment.
Area of Science:
- Family Medicine
- Pediatrics
- Psychiatry
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder.
- Family physicians play a crucial role in the primary care of children and adolescents.
Purpose of the Study:
- To evaluate the diagnostic and treatment approaches of family physicians for ADHD.
- To understand the extent of ADHD patient care managed by family physicians.
Main Methods:
- A survey was distributed to 940 family and general physicians in Kansas.
- 471 physicians (50.1% response rate) completed the 20-item survey on ADHD practices.
Main Results:
- Most respondents regularly saw children, with over half suspecting multiple ADHD cases annually.
- Physician approaches varied: 43% referred for diagnosis/treatment, 30% managed independently, and 27% referred for diagnosis but provided treatment.
- Physicians managing ADHD independently often relied on clinical judgment, with limited use of standardized questionnaires or laboratory tests.
Conclusions:
- Family physicians manage a substantial volume of ADHD care, irrespective of practice location (rural vs. urban).
- The majority of family physicians are satisfied with their current referral networks for ADHD.
- Independent ADHD management by family physicians frequently prioritizes clinical assessment over objective diagnostic tools.