Diagnoses of ADHD based on senior clinician review of the DAWBA completed by parents, teachers and young people aged 11 plus may be sufficiently accurate to permit clinical diagnosis without direct patient contact by the diagnosing clinician. This could improve access to accurate diagnoses of ADHD in primary care while freeing up senior clinicians to focus on complex and refractory cases in secondary care.
There seems little to distinguish the quality of doctor- or nurse-delivered care in ordinary attention deficit hyperactivity disorder follow-up clinics. There seems no clinical impediment to using nurse prescribers to increase clinic capacity. It may be useful to add structured assessment of mood difficulties at follow-up if nurse prescribers are used.
We often get questions from students and health professionals about whether parents are legally permitted to access their minor children's health information or make health care decisions on their behalf. We wrote this article to respond to the matter.Les étudiants et les professionnels de la santé nous demandent souvent si les parents ont le droit, aux termes de la loi, d' accéder aux renseignements médicaux de leurs enfants mineurs ou de prendre des décisions quant aux soins à recevoir au nom de l' enfant. Cet article répond à cette question.
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