Referral Trends in Two Pioneering Developmental-Behavioral Pediatric Centers in Turkey

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dc.authoridAkpinar, Funda/0000-0002-4624-1382
dc.authoridBuyukavci, Mehmet Akif/0000-0001-6884-1832
dc.authoridbingoler pekcici, emine bahar/0000-0003-1524-6655
dc.authoridÖzalp Akın, Ezgi/0000-0001-8055-9485
dc.authoriddoganay, beyza/0000-0001-8845-2287
dc.authoridDogan, Derya/0000-0003-1587-9639
dc.authorwosidAkpinar, Funda/GSE-3820-2022
dc.authorwosidBuyukavci, Mehmet Akif/HCH-2615-2022
dc.authorwosidbingoler pekcici, emine bahar/AAH-5122-2020
dc.authorwosidÖzalp Akın, Ezgi/AAQ-2752-2020
dc.authorwosiddoganay, beyza/IUP-6354-2023
dc.contributor.authorPekcici, Emine Bahar Bingoler
dc.contributor.authorDogan, Derya Gumus
dc.contributor.authorAkin, Ezgi Ozalp
dc.contributor.authorBuyukavci, Akif
dc.contributor.authorAkpinar, Funda
dc.contributor.authorHayran, Gamze
dc.contributor.authorArslan, Necati
dc.date.accessioned2024-08-04T20:49:27Z
dc.date.available2024-08-04T20:49:27Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: To inform professionals pioneering developmental-behavioral pediatrics (DBP) services in low- and middle-income countries (LMICs), we aimed to examine referral trends in 2 pioneering DBP centers at different locations in Turkey and to ascertain whether the official establishment of DBP as a subspecialty affected these trends. Method: This longitudinal observational study included all children referred to Ankara (AUDPD) and Inonu (IUDPD) Universities' Developmental Pediatrics Divisions between 2010 and 2018. We examined the sources of referrals and the independent effects of time and the establishment of DBP as a subspecialty on referral volume using Negative Binomial Regression (NBR) models. Results: Of 8,051 children, most were boys (58%) and under 24 months of age (72%). Most referrals were from the pediatric and pediatric surgery department clinics (85%); less than 1% were from child and adolescent psychiatry, and none were from family physicians. The NBR models showed that yearly, the referral volume increased significantly, 1.18-fold (95% confidence interval [CI] = 1.09-1.28) and 1.48-fold (95% CI = 1.20-1.82) for AUDPD and IUDPD, respectively. Compared with the trend of referrals before, the trend after the establishment of DBP as a subspecialty increased significantly at AUDPD, but not IUDPD. Conclusion: The increase in referrals to DBP over time is encouraging to professionals working to advance DBP services and training in LMICs even if DBP is not officially established as a subspecialty. Additional efforts may be needed to improve recognition and use of DBP services by community physicians and allied disciplines that provide services to children.en_US
dc.identifier.doi10.1097/DBP.0000000000000881
dc.identifier.endpage233en_US
dc.identifier.issn0196-206X
dc.identifier.issn1536-7312
dc.identifier.issue3en_US
dc.identifier.pmid33093303en_US
dc.identifier.scopus2-s2.0-85103606527en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage227en_US
dc.identifier.urihttps://doi.org/10.1097/DBP.0000000000000881
dc.identifier.urihttps://hdl.handle.net/11616/99871
dc.identifier.volume42en_US
dc.identifier.wosWOS:000656626800009en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Developmental and Behavioral Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectreferral trendsen_US
dc.subjectdevelopmental-behavioral pediatricsen_US
dc.subjectlow and middle-income countriesen_US
dc.subjectearly childhood developmenten_US
dc.subjectdisabilityen_US
dc.titleReferral Trends in Two Pioneering Developmental-Behavioral Pediatric Centers in Turkeyen_US
dc.typeArticleen_US

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