Moore Christopher, Zamora Irina, Patel Gera Mona, Williams Marian E
1 University of Colorado Health, Denver, CO, USA.
2 Children's Hospital Los Angeles, Los Angeles, CA, USA.
Clin Pediatr (Phila). 2017 Oct;56(11):1040-1047. doi: 10.1177/0009922817701174. Epub 2017 Apr 12.
Previous studies have shown that different provider approaches, amount of familiarity with the referral and screening process, and level of interagency communication can increase or decrease the likelihood of caregivers completing a recommended referral to early intervention (EI). We surveyed 60 family practitioners and pediatricians at 2 primary care clinics to assess these factors. Pediatricians were more likely than family practitioners to report using, evaluating, and discussing the results of developmental screens. Providers with more experience and recent training expressed more confidence in their ability to describe the EI system to families. Most providers expressed a lack of confidence in their own agency to complete referrals or EI to provide follow-up. The knowledge gaps and communication problems identified in this study could serve as a basis for future interventional work.
以往研究表明，不同的医疗服务提供者方式、对转诊和筛查流程的熟悉程度以及机构间沟通水平，会增加或降低照顾者完成推荐的早期干预（EI）转诊的可能性。我们对两家基层医疗诊所的60名家庭医生和儿科医生进行了调查，以评估这些因素。儿科医生比家庭医生更有可能报告使用、评估和讨论发育筛查结果。经验更丰富且近期接受过培训的医疗服务提供者对向家庭描述EI系统的能力更有信心。大多数医疗服务提供者对自己所在机构完成转诊或EI后续跟进缺乏信心。本研究中发现的知识差距和沟通问题可为未来的干预工作提供依据。
