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Published on: October 3, 2018
Autism spectrum disorder in China: Clinical practices, challenges, and future
Ning Yang1, Jun Wang1, Hongmin Zhu2
1Department of Rehabilitation, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai 201102, China.
None:
The prevention and treatment of autism spectrum disorder (ASD) is a global public health challenge. This review applies a pyramid management-community-maternal and child care-medicine (PCMM) model, incorporating hierarchical and precise services along with parenting education, to examine the evolution of ASD clinical healthcare. The findings are organized into a tiered screening-identification-intervention system tailored to contexts with limited specialist resources. Key achievements include wide screening coverage through the maternal-child health network, earlier diagnostic confirmation in leading regions, and expanded access to intervention via parent-mediated and community-based delivery. However, persistent challenges remain. These include limited diagnostic capacity, regional disparities in services, workforce shortages, insufficient financial support, and stigma that impedes follow-up. We highlight priorities for improving frontline capacity, financing and reimbursement, and services beyond early childhood. The experience in mainland China provides a scalable reference for global ASD practice.
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