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Developmental‐behavioural problems in general paediatrics
Author(s) -
HOLT JM,
McDOWELL MJ
Publication year - 1998
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1046/j.1440-1754.1998.00206.x
Subject(s) - medicine , referral , psychosocial , multidisciplinary approach , public health , family medicine , private practice , pediatrics , mental health , psychiatry , nursing , social science , sociology
Objective: To determine the current role of private general paediatrics in the care of children with problems of development and behaviour. Methods: 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. Results: 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. Conclusion: Private community‐based general paediatricians are deeply involved in this area of work. The results raise questions about services for training and for clinical collaboration between public and private child health providers.