Studies employing various methods for evaluating screening practices have documented increases in screening rates. 4 The Ages and Stages Questionnaire (ASQ), 9 Parents’ Evaluation of Developmental Status (PEDS), 10 and the Modified Checklist for Autism in Toddlers 11 were widely adopted along with greater use of nonstandardized checklists. 6– 8 By 2009, the reported rate of standardized screening tool use doubled to nearly 48%. 6 To improve screening rates, in 2006 the AAP released guidelines calling for developmental surveillance at every visit and use of a standardized screening tool at the 9-, 18-, and 24- or 30-month well-child visits. 6 However, only 23% of pediatricians in 2002 reported using a standardized developmental screening tool, citing lack of time, staff, and reimbursement as barriers. In 2001, an AAP policy statement called for pediatricians to screen all children for developmental disorders during routine well-child visits.
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