TY - JOUR
T1 - Developmental specialists in pediatric practices
T2 - Perspectives of clinicians and staff
AU - Minkovitz, Cynthia S.
AU - Strobino, Donna
AU - Hughart, Nancy
AU - Scharfstein, Daniel
AU - Hou, William
AU - Miller, Tess
AU - Bishai, David
AU - Guyer, Bernard
PY - 2003
Y1 - 2003
N2 - Objective. - To investigate how introducing early child-development specialists (Healthy Steps Specialists) and enhanced developmental services into routine pediatric care affects perspectives of clinicians and staff. Methods. - Self-administered questionnaires were completed at baseline and at 30 months by clinicians, clinical staff, and nonclinical staff at pediatric sites participating in the evaluation of the Healthy Steps for Young Children Program. The evaluation included 6 randomization and 9 quasi-experimental sites. Barriers to providing well-child care, visit length, perceptions of care provided, and topics discussed with parents were assessed. Results. - Over time, despite persistent barriers to delivering high-quality services, clinicians were more likely to report being satistied with their clinical staff's ability to meet developmental and behavioral needs of children. Moreover, clinicians were more likely to report discussing the importance of routines with control rather than with intervention families, suggesting a reliance on Healthy Steps Specialists. There was no effect on visit length. Thirty months after introducing Healthy Steps Specialists and enhanced services, nearly all clinicians agreed or strongly agreed that the Healthy Steps Specialists talked with parents about their child's development, showed them activities to do with their child, and provided emotional support. Involvement of the Healthy Steps Specialist in these activities was reported more by clinicians than by clinical staff and least by nonclinical staff. Conclusions. - Clinicians acknowledged the activities performed by and contributions of the developmental specialists. Differences in perspectives of personnel may reflect different interactions among families, developmental specialists, and practice staff.
AB - Objective. - To investigate how introducing early child-development specialists (Healthy Steps Specialists) and enhanced developmental services into routine pediatric care affects perspectives of clinicians and staff. Methods. - Self-administered questionnaires were completed at baseline and at 30 months by clinicians, clinical staff, and nonclinical staff at pediatric sites participating in the evaluation of the Healthy Steps for Young Children Program. The evaluation included 6 randomization and 9 quasi-experimental sites. Barriers to providing well-child care, visit length, perceptions of care provided, and topics discussed with parents were assessed. Results. - Over time, despite persistent barriers to delivering high-quality services, clinicians were more likely to report being satistied with their clinical staff's ability to meet developmental and behavioral needs of children. Moreover, clinicians were more likely to report discussing the importance of routines with control rather than with intervention families, suggesting a reliance on Healthy Steps Specialists. There was no effect on visit length. Thirty months after introducing Healthy Steps Specialists and enhanced services, nearly all clinicians agreed or strongly agreed that the Healthy Steps Specialists talked with parents about their child's development, showed them activities to do with their child, and provided emotional support. Involvement of the Healthy Steps Specialist in these activities was reported more by clinicians than by clinical staff and least by nonclinical staff. Conclusions. - Clinicians acknowledged the activities performed by and contributions of the developmental specialists. Differences in perspectives of personnel may reflect different interactions among families, developmental specialists, and practice staff.
KW - Attitudes
KW - Child development
KW - Developmental services
KW - Practices
KW - Provider
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U2 - 10.1367/1539-4409(2003)003<0295:DSIPPP>2.0.CO;2
DO - 10.1367/1539-4409(2003)003<0295:DSIPPP>2.0.CO;2
M3 - Article
C2 - 14616046
AN - SCOPUS:0346900678
SN - 1530-1567
VL - 3
SP - 295
EP - 303
JO - Ambulatory Pediatrics
JF - Ambulatory Pediatrics
IS - 6
ER -