Pediatrician practices regarding referral to early intervention services: is an established diagnosis important?

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
Michael SilversteinKaren G O'Connor

Abstract

Early intervention (EI) programs provide services to children with developmental conditions, regardless of whether such children have an underlying medical diagnosis. We aim to (1) Determine the proportion of general pediatricians who believe an established diagnosis is important when considering EI referral; and (2) Determine whether this perception is associated with lower reported likelihood of referral. Mailed survey to random sample of pediatricians. We used multivariable logistic regression to study the association between the perception that a medical diagnosis is important when referring to EI, and the reported likelihood of EI referral for children with common developmental conditions. Response rate was 55% (894 of 1617). A total of 64% of respondents considered an established diagnosis important for EI referral. Likelihood of referral for delayed speech was lower among those who considered a diagnosis important than among those who did not (77% vs 87%; P = .02). Similar patterns held for global delay (91% vs 97%; P = .02), loss of developmental milestones (80% vs 88%; P = .03), and parental concern for inappropriate development (45% vs 60%; P = .002). In multivariable models, perception of the importance of an establi...Continue Reading

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Citations

May 17, 2011·World Journal of Pediatrics : WJP·Marie LeinerI Medina
Jan 5, 2014·Pediatrics in Review·Laura RoseBrenda Hussey-Gardner
Apr 29, 2014·Academic Pediatrics·Manuel E JimenezJames P Guevara
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Jan 19, 2008·American Journal of Medical Genetics. Part a·Min-Jye ChenNathaniel H Robin
May 22, 2019·Congenital Heart Disease·Sonia A MonteiroLara Shekerdemian
Sep 16, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Karina Javalkar, Jonathan S Litt
Apr 25, 2020·Infants and Young Children·Brian BargerRebecca B Wolf
Sep 21, 2015·Maternal and Child Health Journal·Eugenia C GonzalezMaritza E Lopez
Mar 23, 2021·Academic Pediatrics·George ChanAda M Fenick

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