Clinical Practice Guideline - Preventive Services Guideline for Children
| Topic: Preventive Services Guideline for Children |
Date of Origin: June 2006 |
| Revised/Effective Date: October
2009 |
Next Review Date: October
2010 |
Recommendation Summary:
Regence supports the recommendations of the United
States Preventive Services Task Force (USPSTF) regarding
the following preventive care screenings for children
and adolescents (birth through 18 years).
| Preventive
Screenings |
Dental Screening
for Fluoride Availability
Developmental/Behavior Assessment
Dyslipidemia Screening
Hearing Screening
Initial Dental Referral
Lead Screening
Mental Health Screening
Obesity Screening
Periodic Well Child Visits
Vision Screening |
Regence also supports the recommendations of the Centers
for Disease Control and Prevention (CDC) regarding
the following immunizations for vaccine-preventable
diseases for children and adolescents (birth through
age 18 years).
| Immunizations |
Diphtheria, Tetanus,
Pertussis (DTaP)
Hepatitis A & B
Haemophilus influenzae type B (Hib)
Inactivated Poliovirus
Influenza
Measles, Mumps, Rubella (MMR)
Meningococcal
Pneumococcal
Rotavirus
Varicella |
| Other |
Alcohol and Other
Drug Education
Injury Prevention
STD Prevention |
Recommendations for preventive pediatric health care
are also published by the American Academy of Pediatrics
(AAP). Although these recommendations are more
consensus-based than evidence-based, they are frequently
used.
Please refer to the Web sites listed below for detailed
information that specifies the age requirements, risk
factors and contraindications. Differences between
these sources should be discussed with your physician/provider
of care.
Web Site Links:
- Recommendations for Preventive Care:
USPSTF
AAP
CDC
Position Statement:
The USPSTF recommendations are supported by Regence because
they are based on scientific evidence, and where evidence
is lacking, on panel consensus judgment. The guidelines
reflect the current standard of care.
- The USPSTF consists of an independent panel of
experts in primary care and prevention that systematically
reviews the evidence of effectiveness and develops
recommendations for clinical preventive services.
- The panel members are recognized experts practicing
in a variety of professional settings.
- Recommendations are based on a well-defined, comprehensive
scientific literature search.
- Methods used to select appropriate scientific literature
are well defined.
- The methods used to critically appraise the evidence
supporting guideline recommendations are transparent.
- The guidelines clearly state the strength of the
evidence for which recommendations are based.
- The sources of funding is the United States Government.
Guideline Adoption and Recommended Use:
This guideline has been adopted based on nationally
recognized sources. This guideline is based on
the most recent medical evidence available at the time
of the report or on a consensus of panel experts. Regence
adopts guidelines to help practitioners and members
make decisions about appropriate health care for specific
conditions. Guidelines are not a substitute for professional
medical advice.
Benefit Determination:
Benefit determinations should be based in all cases
on the applicable contract coverage. To the extent
that there are any conflicts between these guidelines
and the contract language, the contract language takes
precedence.
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