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TABLE 3

Barriers to Screening Children <36 Months Old for Risk of Developmental Delay or ASD: 2002–2016

20022016P
%n%n
Time limitations in current practicea 79.5 522 57.2 465 <.001 
Inadequate reimbursement for conducting a formal screeninga 48.6 519 29.1 463 <.001 
Lack of medical office staff to perform screeninga 46.7 514 21.8 463 <.001 
Language barriers (ie, physician or staff cannot speak language of family) 18.3 517 21.8 463 .17 
Belief that formal screening is not an appropriate role for the pediatriciana 9.3 516 2.2 464 <.001 
Lack of treatment options for positive screen resultsa 9.1 515 21.4 464 <.001 
Lack of confidence in ability to screena 8.9 516 3.7 464 .001 
Lack of knowledge regarding referral options for positive screen results 8.1 514 9.7 462 .38 
Lack of confidence in the validity of screening instruments 6.8 512 5.0 461 .22 
20022016P
%n%n
Time limitations in current practicea 79.5 522 57.2 465 <.001 
Inadequate reimbursement for conducting a formal screeninga 48.6 519 29.1 463 <.001 
Lack of medical office staff to perform screeninga 46.7 514 21.8 463 <.001 
Language barriers (ie, physician or staff cannot speak language of family) 18.3 517 21.8 463 .17 
Belief that formal screening is not an appropriate role for the pediatriciana 9.3 516 2.2 464 <.001 
Lack of treatment options for positive screen resultsa 9.1 515 21.4 464 <.001 
Lack of confidence in ability to screena 8.9 516 3.7 464 .001 
Lack of knowledge regarding referral options for positive screen results 8.1 514 9.7 462 .38 
Lack of confidence in the validity of screening instruments 6.8 512 5.0 461 .22 

Question wording: “How strongly would you agree or disagree that the following are barriers to your screening children <36 mo old for risk for developmental delay or problem/autism?” Percentage of pediatricians responding strongly agree or agree is reported.

a

Result from the χ2 test indicates statistically significant difference in the distribution of the variable across years (P < .05).

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