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Expanding Developmental and Behavioral Health Capacity in Pediatric Primary Care.
- Source :
-
Clinical Pediatrics . Sep2023, Vol. 62 Issue 8, p919-925. 7p. - Publication Year :
- 2023
-
Abstract
- The Development and Behavior Access Clinic (DBAC) deploys a general pediatrician with brief/intensive training and proctoring by developmental-behavioral pediatricians (DBP) to provide developmental-behavioral (DB) care to children referred with mild/moderate complexity needs as determined by a team of clinical psychologists. This pilot study utilizes visit data, chart review, and surveys to assess wait times, need for subspecialty care, and referring clinician satisfaction. In its first 18 months, DBAC decreased the need for subspecialty DB care, providing initial services for 44% of patients referred for DB pediatric care from the study site; 89% did not require subsequent subspecialty evaluation. Among DBAC participants, average wait times for DB care decreased from a baseline of 218 to 41 calendar days. This pilot study provides a model for building DB clinical skills among interested general pediatricians, decreasing wait times, and building the capacity of primary care settings to address mild-to-moderate complexity DB concerns. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PILOT projects
*HEALTH services accessibility
*CHILD development
*CHILD behavior
*MENTAL health
*PEDIATRICS
*CHILDREN with disabilities
*PSYCHOLOGISTS
*ACQUISITION of data
*PRIMARY health care
*SURVEYS
*LABOR supply
*MEDICAL records
*JOB satisfaction
*DESCRIPTIVE statistics
*RESEARCH funding
*PERSONNEL management
*EDUCATIONAL outcomes
*TELEMEDICINE
Subjects
Details
- Language :
- English
- ISSN :
- 00099228
- Volume :
- 62
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Clinical Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 169834011
- Full Text :
- https://doi.org/10.1177/00099228221147753