title: An update on assessing development in the pediatric office: has anything changed after two policy statements?
abstract: OBJECTIVE
  The aim of this study was to examine parental reports of receiving a child developmental assessment (DA), and the child, family, and type of health care setting characteristics and well-child care processes associated with receiving this aspect of preventive developmental care.
  
  
  METHODS
  The 2007 National Survey of Children's Health was used to study 16 223 children, aged 10 months to 4 years, who received a DA with a structured questionnaire from their primary care provider in the previous 12 months. Data were adjusted for child characteristics, family socioeconomic factors, type of health care setting, and processes of care.
  
  
  RESULTS
  Few children were assessed for developmental delays by using developmental questionnaires (28%). A greater percentage of parents of children with public insurance reported receiving a developmental questionnaire compared with parents of children who were uninsured or privately insured (32% vs 26% and 25%, respectively; P = .02). The adjusted odds of receiving a developmental questionnaire were higher for children with public insurance than private insurance (odds ratio [OR] 1.35, 95% confidence interval [CI], 1.05-1.73), higher for children whose usual place of care was a clinic or health center than a doctor's office (OR 1.36, 95% CI, 1.07-1.74), and higher for children reporting adequate family-centered care (OR 1.41, 95% CI, 1.14-1.74).
  
  
  CONCLUSIONS
  Parental receipt of developmental questionnaires is low and varies by type of insurance, type of place for usual source of care, and adequacy of family-centered care. There is room for improvement in the provision of developmental questionnaires and, our results suggest, areas for continuing research to understand variations in DA practices.
authors.affiliation: UCLA Center for Healthier Children, Families and Communities, Los Angeles, Calif 90024, USA. aguerrero@mednet.ucla.edu
authors.forename: Alma D
authors.initials: AD
authors.lastname: Guerrero
authors.forename: Nicole
authors.initials: N
authors.lastname: Garro
authors.forename: John T
authors.initials: JT
authors.lastname: Chang
authors.forename: Alice A
authors.initials: AA
authors.lastname: Kuo
mesh_terms: D002675:Child, Preschool; D002658:Developmental Disabilities / Q000517:prevention & control*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D008403:Mass Screening; D010372:Pediatrics; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires; D014481:United States