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Specific limitations have been noted in the quality of care related to developmental and behavioral services for children in the first 3 years of life,4 - 7 particularly regarding gaps between recommended and actual care received.8, 9 In a national survey, only 23 % of 2017 parents of young children discussed discipline and early learning with their child's clinician, and over half wanted
more information about these
topics.4 In a survey of 1900 Medicaid - enrolled children ages 4 years and younger, 40 % of parents reported that their child's clinicians did not ask whether they had concerns
about their child's development and well - being.10 Using the National Survey of Early Childhood Health, Halfon et al6 reported that 34 % of parents of 2068 children ages 4 to 35 months did not believe their child's clinicians always took time to understand their child's
needs.