| Alternative developmental evaluation paradigm in centers for developmental disabilities. | |
| | |
MedLine Citation:
|
PMID: 16126367 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The interdisciplinary evaluation has been a well-established process in centers for neurodevelopmental disabilities, but it is costly and may generate long waiting lists that can delay early diagnosis and treatment. An alternative evaluation paradigm was designed, using a specific screening approach, to improve use of staff time without compromising quality of care. An alternative model (AM) was designed, where a pre-designed selection process was used to sort new patients for either a comprehensive evaluation or a screening procedure, addressing medical, developmental and social issues with the additional use of developmental screening tools. A routine clinic (RC) comprehensive evaluation of each referral, was compared to the AM for waiting time, charges for patients, reimbursement to the center, and parents' and professional trainees' satisfaction. Results showed that waiting time for the screening procedure (10.3 weeks) was significantly reduced (RC 20.6 weeks). Charges for the screening procedure were significantly lower, but center revenues were not affected. Caregivers' satisfaction was maintained and trainees' satisfaction was high. The AM identified medical concerns sooner and encouraged collaboration with community resources. This study supports the use of an Alternative Developmental Evaluation paradigm for more effective use of interdisciplinary teams in centers for neurodevelopmental disabilities. |
| | |
Authors:
|
Ditza A Zachor; Janet Isaacs; Joav Merrick |
Related Documents
:
|
21988017 - The ethical obligations of the military medical practitioner. 9726527 - A dutch medical language processor: part ii: evaluation. 12132727 - Medical laser safety hazard evaluation. 9717877 - Gulf war veterans' health registries. who is most likely to seek evaluation? 15446367 - Karl rokitansky: his bohemian years and his relationship with jan evangelista purkyne: ... 12870037 - Duncan of liverpool: britain's first medical officer. |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2005-08-26 |
Journal Detail:
|
Title: Research in developmental disabilities Volume: 27 ISSN: 0891-4222 ISO Abbreviation: Res Dev Disabil Publication Date: 2006 Jul-Aug |
Date Detail:
|
Created Date: 2006-07-19 Completed Date: 2006-12-05 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8709782 Medline TA: Res Dev Disabil Country: United States |
Other Details:
|
Languages: eng Pagination: 400-10 Citation Subset: IM |
Affiliation:
|
Department of Pediatrics, Assaf Harofeh Medical Center, Rehov Hatizmoret 12, IL-55556 Kiryat Ono, Israel. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Child Child, Preschool Delivery of Health Care Developmental Disabilities / diagnosis* Female Humans Male Patient Care Team Patient Satisfaction |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Integrating QTL and high-density SNP analyses in mice to identify Insig2 as a susceptibility gene fo...
Next Document: The relationship between VHI scores and specific acoustic measures of mildly disordered voice produc...