Developmental-behavioural problems in general paediatrics.
To determine the current role of private general paediatrics in the care of children with problems of development and behaviour.
We surveyed all general paediatricians registered with the Australian College of Paediatrics to assess their current role in developmental-behavioural (DB) problems-their rate of referrals, their role in the continuing management, and opinions regarding duration of training in this area.
Of 394 questionnaires sent, 284 replies were received (72%). From these 284 we analysed results for all 172 who spent more than 25% of their time in private general paediatric practice.
On average, 32% of new referrals were for DB problems.
With 10 DB clinical vignettes presented, paediatricians chose to continue to manage in conjunction with allied health services in 65% of cases.
Other management choices included referral to a multidisciplinary team (16%), referral elsewhere (10%) and manage alone (7%). For training to be a general paediatrician, they indicated 3 months should be spent during basic training in each of the three areas of ; DB paediatrics, developmental disabilities and child psychiatry (separately or concurrently) ; and 6 months of each during advanced training.
Free comments highlighted lack of public allied health and psychosocial services.
Private community-based general paediatricians are deeply involved in this area of work. (...)
Mots-clés Pascal : Australie, Océanie, Enquête, Médecin, Pédiatrie, Trouble développement, Activité professionnelle, Formation professionnelle, Prévalence
Mots-clés Pascal anglais : Australia, Oceania, Survey, Physician, Pediatrics, Developmental disorder, Professional activity, Occupational training, Prevalence
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0298546
Code Inist : 002B30A05. Création : 27/11/1998.