Trends in Pediatricians' Developmental Screening: 2002-2016
Trends in Pediatricians' Developmental Screening: 2002-2016
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DOI：
10.1542/peds.2019-0851
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发表时间：
2020-04-01
期刊：
影响因子：
8
通讯作者：
Levy, Susan E.
中科院分区：
文献类型：
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作者：
Lipkin, Paul H.;Macias, Michelle M.;Levy, Susan E.
背景技术背景：美国儿科学会（American Academy of Pediatrics）目前的指南建议通过使用标准化的筛查工具来筛查儿童的发育问题，并将高危患者转诊给早期干预（EI）或专科医生。指南的采用是逐步的，研究表明许多儿童仍然没有被筛查和referenced.METHODS：我们分析了美国儿科学会定期调查数据从2002年（响应率= 58%; N = 562），2009年（响应率= 57%; N = 532），和2016年（响应率= 47%，N = 469）。调查包括儿科医生的知识，态度和做法有关的筛查和转介儿童的发展问题的项目。我们使用描述性统计和多变量逻辑回归模型来检查筛查和转诊实践和态度的趋势。结果：儿科医生报告使用发育筛查工具的比例从2002年的21%增加到2016年的63%（P
BACKGROUND: Current guidelines from the American Academy of Pediatrics recommend screening children for developmental problems by using a standardized screening tool and referring at-risk patients to early intervention (EI) or subspecialists. Adoption of guidelines has been gradual, with research showing many children still not being screened and referred.METHODS: We analyzed American Academy of Pediatrics Periodic Survey data from 2002 (response rate = 58%; N = 562), 2009 (response rate = 57%; N = 532), and 2016 (response rate = 47%, N = 469). Surveys included items on pediatricians' knowledge, attitudes, and practices regarding screening and referring children for developmental problems. We used descriptive statistics and a multivariable logistic regression model to examine trends in screening and referral practices and attitudes.RESULTS: Pediatricians' reported use of developmental screening tools increased from 21% in 2002 to 63% in 2016 (P