| Abstract: | Healthy Steps for Young Children (HS) is a program designed to enhance pediatric primary care experiences for children birth to 3 years and their families by pairing a developmental specialist with a pediatric provider during well‐child visits. This study examined the impact of HS on content discussed during well‐child visits by providers, HS Specialists, and families. The impact of HS on pediatric outcomes, including timeliness of well‐child visits and immunizations, also was examined. Using retrospective medical review, records of 40 children enrolled in HS were compared with records of 36 demographically matched controls. A developmental topics checklist was used to analyze content of well‐child visits. Attendance at well‐child visits, receipt of immunizations, and healthcare utilization also was evaluated. Important developmental topics were discussed more often during well‐child visits of children enrolled in HS than for children who were not enrolled. Children enrolled in HS received timelier well‐child visits and immunizations. No differences between groups were found in the number of sick or emergency room visits. Integrating HS Specialists into pediatric primary care well‐child visits allows for discussion of important developmental topics while also impacting pediatric health outcomes. |
