Specialized primary care medical home: A positive impact on continuity of care among autistic adults.

Autor: Hand BN; The Ohio State University, USA., Coury DL; The Ohio State University, USA.; Nationwide Children's Hospital, USA., White S; The Ohio State University Wexner Medical Center, USA., Darragh AR; The Ohio State University, USA., Moffatt-Bruce S; Royal College of Physicians and Surgeons of Canada, Canada., Harris L; The Ohio State University, USA., Longo A; The Ohio State University, USA., Garvin JH; The Ohio State University, USA.
Jazyk: angličtina
Zdroj: Autism : the international journal of research and practice [Autism] 2021 Jan; Vol. 25 (1), pp. 258-265. Date of Electronic Publication: 2020 Sep 09.
DOI: 10.1177/1362361320953967
Abstrakt: Lay Abstract: There is a nationally recognized need for innovative healthcare delivery models to improve care continuity for autistic adults as they age out of pediatric and into adult healthcare systems. One possible model of care delivery is called the "medical home". The medical home is not a residential home, but a system where a patient's healthcare is coordinated through a primary care physician to ensure necessary care is received when and where the patient needs it. We compared the continuity of care among autistic adult patients at a specialized primary care medical home designed to remove barriers to care for autistic adults, called the CAST, to matched national samples of autistic adults with private insurance or Medicare. Continuity of primary care among CAST patients was significantly better than that of matched national samples of autistic adult Medicare beneficiaries and similar to that of privately insured autistic adults. Our findings suggest that medical homes, like CAST, are a promising solution to improve healthcare delivery for the growing population of autistic adults.
Databáze: MEDLINE