Waiting times for diagnosis of attention-deficit hyperactivity disorder in children and adolescents referred to Italian ADHD centers must be reduced.
Attention-deficit hyperactivity disorder
Children
Epidemiology
Health service
Italy
Waiting time
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
18 Sep 2019
18 Sep 2019
Historique:
received:
13
05
2019
accepted:
10
09
2019
entrez:
20
9
2019
pubmed:
20
9
2019
medline:
31
12
2019
Statut:
epublish
Résumé
To investigate timely access to and the time needed to complete the diagnostic path of children and adolescents with suspected attention deficit hyperactivity disorder (ADHD) in the 18 Italian Lombardy Region ADHD reference centers. Data of children and adolescents enrolled in the Regional ADHD disease-oriented Registry for suspected ADHD who requested their first visit in 2013-2017 were analyzed. The sample comprised 2262 children and adolescents aged 5-17 years who accessed the ADHD centers for diagnostic classification and management. The median waiting time was of 177 days (range 66-375) from the request for the initial appointment to the completion of the diagnostic path, with a three - fold difference between centers. In addition to the center, the strongest significant predictors of long waiting times were age comorbidities, the severity of the disorder, and having already completed some diagnostic procedures provided by the common standard path. To guarantee an equal standard of care in ADHD centers for all children and adolescents there is a pressing need to reduce the times to complete the diagnostic path. It is the task of both policymakers and each center to optimize the quality of the service and of the care delivered.
Sections du résumé
BACKGROUND
BACKGROUND
To investigate timely access to and the time needed to complete the diagnostic path of children and adolescents with suspected attention deficit hyperactivity disorder (ADHD) in the 18 Italian Lombardy Region ADHD reference centers.
METHODS
METHODS
Data of children and adolescents enrolled in the Regional ADHD disease-oriented Registry for suspected ADHD who requested their first visit in 2013-2017 were analyzed.
RESULTS
RESULTS
The sample comprised 2262 children and adolescents aged 5-17 years who accessed the ADHD centers for diagnostic classification and management. The median waiting time was of 177 days (range 66-375) from the request for the initial appointment to the completion of the diagnostic path, with a three - fold difference between centers. In addition to the center, the strongest significant predictors of long waiting times were age comorbidities, the severity of the disorder, and having already completed some diagnostic procedures provided by the common standard path.
CONCLUSIONS
CONCLUSIONS
To guarantee an equal standard of care in ADHD centers for all children and adolescents there is a pressing need to reduce the times to complete the diagnostic path. It is the task of both policymakers and each center to optimize the quality of the service and of the care delivered.
Identifiants
pubmed: 31533711
doi: 10.1186/s12913-019-4524-0
pii: 10.1186/s12913-019-4524-0
pmc: PMC6751639
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
673Subventions
Organisme : The study is part of the "Sharing Diagnostic-Therapeutic Approaches for ADHD in Lombardy" project partially funded by the Health Care Directorate of the Lombardy Region
ID : D.G. Sanità N. 1077, 2/02/2017
Investigateurs
Stefano Conte
(S)
Valeria Renzetti
(V)
Laura Salvoni
(L)
Massimo Molteni
(M)
Sara Trabattoni
(S)
Paola Effedri
(P)
Elisa Fazzi
(E)
Elena Filippini
(E)
Elisabetta Pedercini
(E)
Edda Zanetti
(E)
Nadia Fteita
(N)
Daniele Arisi
(D)
Roberta Mapelli
(R)
Simona Frassica
(S)
Simonetta Oriani
(S)
Christian Trevisan
(C)
Susanna Acquistapace
(S)
Ottaviano Martinelli
(O)
Davide Villani
(D)
Emanuela Binaghi
(E)
Andrea Deriu
(A)
Gabriella Vasile
(G)
Arianna Borchia
(A)
Paola Morosini
(P)
Maddalena Breviglieri
(M)
Giuseppe Capovilla
(G)
Roberto Segala
(R)
Chiara Battaini
(C)
Claudio Bissoli
(C)
Maria Paola Canevini
(MP)
Isabella Cropanese
(I)
Emiddio Fornaro
(E)
Giorgio Leonardi
(G)
Silvia Merati
(S)
Laura Reale
(L)
Monica Saccani
(M)
Roberto Vaccari
(R)
Vera Valenti
(V)
Umberto Balottin
(U)
Matteo Chiappedi
(M)
Elena Vlacos
(E)
Corrado Meraviglia
(C)
Maria Grazia Palmieri
(MG)
Gianpaolo Ruffoni
(G)
Francesco Rinaldi
(F)
Federica Soardi
(F)
Chiara Luoni
(C)
Giorgio Rossi
(G)
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