Barger Brian, Roach Andrew, Moreno Gabriel
Division of Epidemiology and Biostatistics, Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA.
School of Medicine, ArizonaLEND, University of Arizona, Tucson, AZ, USA.
Matern Child Health J. 2017 Dec;21(12):2169-2177. doi: 10.1007/s10995-017-2333-9.
Objectives Developmental screening is considered critical to identifying children with developmental delays and disabilities so that they may receive early intervention. To date, only a handful of studies report data on the percentage of health care professionals (HCP) who provide developmental screening. These reports are limited by low participation rates and reporters being pediatricians who may be biased towards reporting higher rates of developmental screening. The purpose of this study is to verify reported increases by reporting on changes in caretakers' awareness of HCP provided developmental screening from 2007/2008 to 2011/2012. Methods Authors report data on caretaker reported receipt of HCP provided developmental screening from the National Survey of Children's Health (NSCH, 2007/2008) and NSCH (2011/2012), as well as changes from the 2007/2008 to 2011/2012. Changes for the 50 states plus Washington D.C. are visualized using 'micromapST' and states are organized in ascending order according to changes in caretaker awareness of developmental screening. Results Nationally, the proportion of caretakers aware that their HCP provided developmental screening increased from 23.0% in 2007/2008 (range 12.6-46%) to 33.3% in 2011/2012 (range 19.4-61.6%) and states level changes ranged from -2 to +35%, with a median change of +10%. Conclusions for Practice Data reported here indicate that a greater number of caretakers are aware that their HCP is providing developmental screening. This reinforces the existing reports indicating increases in HCP reported developmental screening. Despite growth, there is still a need to increase developmental screening efforts in many states.
目标 发育筛查对于识别发育迟缓及残疾儿童至关重要，以便他们能获得早期干预。迄今为止，仅有少数研究报告了提供发育筛查的医疗保健专业人员（HCP）的比例数据。这些报告因参与率低以及报告者为儿科医生（可能倾向于报告较高的发育筛查率）而受到限制。本研究的目的是通过报告2007/2008年至2011/2012年期间看护人对HCP提供发育筛查的知晓情况变化，来核实所报告的增长情况。方法 作者报告了来自全国儿童健康调查（NSCH，2007/2008）和NSCH（2011/2012）中看护人报告接受HCP提供发育筛查的数据，以及2007/2008年至2011/2012年期间的变化情况。使用“micromapST”对50个州加华盛顿特区的变化进行可视化展示，并根据看护人对发育筛查知晓情况的变化按升序对各州进行排列。结果 在全国范围内，知晓其HCP提供发育筛查的看护人比例从2007/2008年的23.0%（范围为12.6 - 46%）增至2011/2012年的33.3%（范围为19.4 - 61.6%），各州层面的变化范围为 - 2%至 + 35%，中位数变化为 + 10%。实践结论 此处报告的数据表明，更多的看护人知晓其HCP正在提供发育筛查。这强化了现有报告中显示的HCP报告的发育筛查增加的情况。尽管有所增长，但许多州仍有必要加大发育筛查力度。
