Youjie Zhang, Minghui Liu, Zewu Zhu, Hequn Chen
Proton pump inhibitors use is associated with a higher prevalence of kidney stones: NHANES 2007-2018
BMC public health
organization healthcare pathways neurodevelopmental disorders ndd relies different levels expertise depending complexity disorders ndds affect 8 15 children historically national recommendations healthcare planning measures initially devoted autism spectrum disorders gradually extended attention deficit hyperactivity disorder adhd specific learning development disorders private doctors play increasing role pathways different levels care due difficulties organization particularly health social sector aim work evaluate contribution secondline private doctors diagnosis care children affected ndd first series surveys 2016 evaluated level commitment primary care pediatricians online national survey repeated 2023 among 1430 members french association ambulatory pediatrics association franaise de pdiatrie ambulatoire afpa assess training current future involvement activity ndd care analysis performed main author using epiinfo software study identified 2023 214 secondline private doctors 14 pediatricians activity 185 agreed appear directory published year afpa facilitate referrals professionals sex ratio responders usual paediatricians 795205 fm distribution among ages showing slight increase age range age 5160 305 data indicate france 2022 secondline private doctors made 4853 ndd diagnoses 24264 followup consultations declare accountable 21 initial prescriptions methylphenidate among secondline doctors 40 completed postuniversity degree ndd 743 completed professional development training pdt 852 completed either types training doctors participating survey wanted improve level practice suggesting five years number secondline private doctors increase 20 244 despite 24 planned retirements within period data probably underestimates role private doctors ndd diagnosis followup initial methylphenidate prescriptions given unfavourable working conditions financial compensation long appointments difficulty accessing paramedical psychological assessments data confirms diagnosis care coordination various presentations ndd may rely different types practices specializations medical social professionals mental health professionals also growing body medical doctors involved developmental behavioural pediatrics data reflection helpful organizing healthcare france countries main study limitation relies selfdeclaration mds involvement ndd could evaluate activity employed mds social medico social sector based national databases prescription remains however first attempt characterization medical activity national level france ndd