Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder
| Autor: | Erin Powers, Chloe Holifield, Jeanne Van Cleave, Ann M. Neumeyer, Karen Kuhlthau, James M. Perrin, Linda Van |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Parents medicine.medical_specialty Quality management genetic structures Autism Spectrum Disorder Health Personnel Specialty Primary care behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine 030225 pediatrics mental disorders Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Child Qualitative Research Primary Health Care Public health 05 social sciences medicine.disease Comorbidity Quality Improvement Autism spectrum disorder Attention Deficit Disorder with Hyperactivity Family medicine Autism Co morbidity Female Psychology Delivery of Health Care 050104 developmental & child psychology Specialization |
| Zdroj: | Journal of autism and developmental disorders. 48(12) |
| ISSN: | 1573-3432 |
| Popis: | We examined barriers and facilitators to expanding primary care's capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs' ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care. |
| Databáze: | OpenAIRE |
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