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Autism Spectrum Disorder: The New Asthma?
Colleen Kraft1,2, Christopher Chamanadjian3, Brandon S Aylward2,4
1University of Southern California, Los Angeles, CA, USA.
Clinical Pediatrics
|December 21, 2022
Summary
Pediatricians are increasingly diagnosing and managing autism spectrum disorder (ASD) in primary care due to specialist shortages. Lessons from managing pediatric asthma can guide improved primary care for ASD.
Area of Science:
- Pediatric medicine
- Developmental pediatrics
- Autism spectrum disorder research
Background:
- Autism spectrum disorder (ASD) diagnosis traditionally relies on specialist care.
- Increasing ASD prevalence strains specialist capacity, leading to diagnostic bottlenecks and long wait times.
- Pediatricians in primary care settings are increasingly expected to manage ASD.
Purpose of the Study:
- To explore the parallels between primary care asthma management challenges and current primary care ASD management.
- To propose a roadmap for improving the standard of primary care for ASD.
Main Methods:
- Commentary drawing parallels between historical asthma management in primary care and current ASD management.
- Reflection on lessons learned from primary care asthma management.
Main Results:
- Significant diagnostic bottlenecks exist in specialist care for ASD.
- Pediatricians face challenges in identifying, diagnosing, and managing ASD in the medical home.
- Historical experience with primary care asthma management offers valuable insights.
Conclusions:
- Lessons from primary care asthma management can inform a strategic approach to ASD care.
- A roadmap is needed to establish a higher and more consistent standard of ASD primary care.
- Enhanced pediatrician roles are crucial for addressing the growing needs of ASD patients and families.
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