Developmental specialists in pediatric practices: perspectives of clinicians and staff.

摘要: Objective.—To investigate how introducing early child-development specialists (Healthy Steps Specialists) and enhanced developmental services into routine pediatric care affects perspectives of clinicians staff. Methods.—Self-administered questionnaires were completed at baseline 30 months by clinicians, clinical staff, nonclinical staff sites participating in the evaluation Healthy for Young Children Program. The included 6 randomization 9 quasi-experimental sites. Barriers to providing well-child care, visit length, perceptions provided, topics discussed with parents assessed. Results.—Over time, despite persistent barriers delivering high-quality services, more likely report being satisfied their staff's ability meet behavioral needs children. Moreover, discussing importance routines control rather than intervention families, suggesting a reliance on Specialists. There was no effect length. Thirty after Specialists nearly all agreed or strongly that talked about child's development, showed them activities do child, provided emotional support. Involvement Specialist these reported least Conclusions.—Clinicians acknowledged performed contributions specialists. Differences personnel may reflect different interactions among specialists, practice