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Primary care approaches to developmental disabilities

J P Shonkoff, P H Dworkin, A Leviton

|October 1, 1979

Summary

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Pediatricians primarily use clinical judgment for developmental disabilities. Enhanced training and assessment tools are needed for better child development evaluations.

Area of Science:

Pediatrics
Developmental Disabilities
Child Health

Background:

Developmental disabilities represent a significant challenge in pediatric primary care.
Current clinical approaches by pediatricians to assessing developmental problems vary.

Purpose of the Study:

To explore the attitudes and current clinical approaches of New England pediatricians to developmental disabilities.
To identify factors influencing assessment and referral patterns for developmental concerns.

Main Methods:

Interviewed 97 board-certified pediatricians in New England focusing on primary care.
Assessed their reliance on clinical judgment versus standardized tools for developmental assessment.
Examined referral patterns based on suspected disorders and practice characteristics.

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Main Results:

Most pediatricians relied on clinical judgment and general observations for developmental assessments.
Practice size and patient socioeconomic status did not significantly affect assessment approaches.
Referral patterns were primarily dictated by the nature of the suspected developmental disorder.

Conclusions:

There is a recognized need for improved pediatric training in developmental aspects of child health.
Development of more precise developmental assessment techniques and intervention evaluations is crucial.
Enhanced pediatric developmental assessment and intervention strategies are necessary.