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Limited time and resources are barriers to screening, counseling, and monitoring children for developmental and behavioral conditions during well-child visits. Researchers conducted a pilot study with seven pediatricians and 78 parents from a large HMO to evaluate the feasibility and acceptance of a new model of well-child care.
Under the new model, parents completed a 20-minute, Internet-based developmental and behavioral screening survey about 2 weeks before the scheduled well-child visit. Children with normal screening tests had a fully electronic visit instead of a traditional office visit; any parental concerns were addressed by e-mail exchange. Children with normal screening tests who needed immunizations or growth measurements or who …