Factors influencing timely diagnosis of autism in China: an application of Andersen's behavioral model of health services use
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View abstract on PubMed
Summary
This summary is machine-generated.Most Chinese children with autism face diagnostic delays, with 86% diagnosed after 24 months. Factors like child
Area Of Science
- Pediatric Neurology
- Developmental Pediatrics
- Public Health
Background
- Timely autism diagnosis is critical for accessing essential support services.
- Significant challenges persist in achieving early diagnosis, especially in China's complex healthcare system.
- Fragmented care and access disparities hinder timely identification of autism spectrum disorder (ASD).
Purpose Of The Study
- To investigate factors influencing the timeliness of autism diagnosis in Chinese children.
- To identify predisposing, enabling, and need-related factors affecting diagnostic delays.
Main Methods
- A cross-sectional questionnaire survey was conducted among families with children aged 1-17 years diagnosed with autism in Mainland China.
- Andersen's Behavioral Model was utilized to assess predisposing, enabling, and need factors influencing diagnosis.
Main Results
- 86.24% of children received a formal autism diagnosis after 24 months, with an average delay of 10.93 months from parental concern.
- Child's age, residence-hospital distance, prior misdiagnosis experiences, and diagnostic severity level were significant predictors of diagnostic timeliness.
Conclusions
- Predisposing, enabling, and need factors significantly complicate autism diagnosis timelines in China.
- Routine screening, multidisciplinary approaches, specialized healthcare professional training, structured referral systems, and telehealth expansion are vital for improving timely and equitable access to autism diagnosis.
- Addressing these factors is crucial for enhancing the quality of life for individuals with autism and their families.
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