Autism spectrum disorder screening and management practices among general pediatric providers
Autism spectrum disorder screening and management practices among general pediatric providers
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DOI：
10.1097/00004703-200604002-00006
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发表时间：
2006-04-01
影响因子：
2.4
通讯作者：
Weiner, Courtney L.
中科院分区：
文献类型：
--
作者：
Dosreis, Susan;Weiner, Courtney L.
It is unclear to what extent general developmental/behavioral assessments are screening for autism spectrum disorders (ASDs) is being conducted, and what the barriers to providing assessments are in routine pediatric practice. Therefore, this study examines (1) the factors influencing the of general developmental and autism-specific screening tools in primary care pediatric practice, (2) the to providing these assessments, and (3) pediatricians' beliefs regarding ASD prevalence. A survey was mailed in June 2004 to a 60% (n = 1119) random sample of Maryland and Delaware pediatricians. In August 2004, a second mailing was sent to nonrespondents. A total of 471 (42%) of the were returned, and of those, 255 (54%) who practiced in general primary care were eligible. The sample was male, 69% had more than 14 years' experience, 71 % were in private practices, and 56% had fewer than 10 patients. Most (82%) routinely screened for general developmental delays, but only 8% screened for ASID. main reasons reported for not screening for ASD were lack of familiarity with tools (62%), referred to a (47%), or not enough time (32%). Most specialist referrals (77%) were to a developmental pediatrician. pediatricians (71%) believed that ASD prevalence has increased, and nearly all attributed this to changes diagnostic criteria and treatment. Service system limitations must be overcome to increase awareness familiarity with screening tools, provide sufficient time and resources, improve screening, and enhance education.
