Browder J A
J Dev Behav Pediatr. 1983 Jun;4(2):99-102. doi: 10.1097/00004703-198306000-00004.
Mail surveys were conducted in 1976 and 1980 with Oregon primary care pediatricians to determine patterns of in-depth evaluations, followup, and availability of diagnostic and treatment services for children with developmental disabilities. It was assumed that changes might reflect the impact of recent federal legislation. Patterns of referral were related more to the type and disorder than to the location of the physician's practice. The majority of pediatricians referred children for evaluation for mental retardation, cerebral palsy, learning disabilities, autism, and multihandicapping conditions. Over half reported doing their own evaluations for convulsive disorders. Referrals were most often to multidiscipline teams except for learning disabilities and convulsive disorders. The present study emphasizes the pediatricians' utilization of specialized interdisciplinary centers for diagnosis of children with major developmental disabilities. There was little change in practice patterns during the study period, but some significant shifts in perceived service needs were observed. The most significant change seems to be a heightened awareness of these children's needs for services. Pediatricians continue to express a need for more training in diagnosis and care of developmental disabilities.
1976年和1980年对俄勒冈州的基层儿科医生进行了邮件调查，以确定对发育障碍儿童进行深入评估、随访以及诊断和治疗服务可及性的模式。据推测，这些变化可能反映了近期联邦立法的影响。转诊模式更多地与疾病类型和病症有关，而不是与医生的执业地点有关。大多数儿科医生会将儿童转介去评估智力迟钝、脑瘫、学习障碍、自闭症和多重残疾情况。超过半数的医生报告称他们自己会对惊厥性疾病进行评估。除了学习障碍和惊厥性疾病外，转诊最常指向多学科团队。本研究强调了儿科医生利用专门的跨学科中心对主要发育障碍儿童进行诊断的情况。在研究期间，实践模式变化不大，但观察到在感知到的服务需求方面有一些显著转变。最显著的变化似乎是对这些儿童服务需求的认识有所提高。儿科医生继续表示需要在发育障碍的诊断和护理方面接受更多培训。
