Title |
Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder
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Published in |
Journal of Autism and Developmental Disorders, July 2018
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DOI | 10.1007/s10803-018-3630-x |
Pubmed ID | |
Authors |
Jeanne Van Cleave, Chloe Holifield, Ann M. Neumeyer, James M. Perrin, Erin Powers, Linda Van, Karen A. Kuhlthau |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 4 | 24% |
United States | 4 | 24% |
Spain | 2 | 12% |
Mexico | 1 | 6% |
Canada | 1 | 6% |
India | 1 | 6% |
Unknown | 4 | 24% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 16 | 94% |
Practitioners (doctors, other healthcare professionals) | 1 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 105 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 14 | 13% |
Student > Master | 13 | 12% |
Student > Ph. D. Student | 11 | 10% |
Student > Doctoral Student | 10 | 10% |
Researcher | 8 | 8% |
Other | 19 | 18% |
Unknown | 30 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 16% |
Psychology | 14 | 13% |
Nursing and Health Professions | 14 | 13% |
Social Sciences | 12 | 11% |
Unspecified | 6 | 6% |
Other | 9 | 9% |
Unknown | 33 | 31% |