Table 5 Lessons learned from Parents’ Evaluation of Developmental Status (PEDS) study
From: Routine developmental screening in Australian general practice: a pilot study
Researcher experience / Quote from Focus Group/ Barriers | Proposed solutions |
|---|---|
Training time was more onerous than expected (three occasions over lunchtime) but designed to accommodate different roles and rosters GP-attendance was impacted by clinical demands | Reconsider delivery mode and consider protected time e.g. after hours |
Audits were time-consuming, requiring multiple practice visits | Review natural word processing options for screening clinical records Ask practices to provide their own analysis |
GP1: Drs did not show much of enthusiasm, I have to emphasise that, simply because not knowing much, not being really familiar with it, is a kind of being apprehensive it can increase work load | Present evidence of PEDS outcomes for children Provide further training re PEDS methodology, it should be streamlined into routine consultations according to staff role Include a business case for general practice |
Referral pathways need to be streamlined and available | Workshop local referral pathways and present referral letter templates |
PN: Initially I was a bit like, “Oh I’m not sure,” but then I –you sort of leave that in the hands of the doctors to decide what they want to do with it from there –as to whether or not it’s a true concern? | Provide more training to PNs to reduce GP workload and perceptions of burden |
GP2: It’s like anything, like with mental health, so I don’t think I need to go do a so-and-so questionnaire unless I need to, you know | Present more evidence of PEDS outcomes for children Present more evidence of rates of child disability in area served by the practice |
GP1: I don’t think routinely we’ll do it for every child unless we’ve got some concern | Emphasise PEDS can be routinely used for every child Place recall systems into health record e.g. every 6 months |