医疗中心,发育监测/查和早期自闭症识别
Brian Barger1,2, Ashley Salmon3, Quentin Moore3,4
1Center for Leadership in Disability, School of Public Health, Georgia State University, 75 Piedmont Rd., Atlanta, GA, 30303, USA. bbarger1@gsu.edu.
Journal of autism and developmental disorders
|July 21, 2023
概括
早期识别自闭症谱系障碍 (ASD) 与发育查有关. 然而,医院对ASD识别的影响需要进一步调查,因为特定的组件,如护理协调发挥作用.
科学领域:
- 儿科健康服务研究 儿童健康服务研究
- 发育儿科 发育儿科
- 自闭症谱系障碍 (ASD) 研究研究
背景情况:
- 发展监测和查对于早期识别自闭症谱系障碍 (ASD) 是至关重要的.
- 现有的研究还没有充分控制医疗家庭概念对早期ASD识别的影响.
- 医疗家庭模式强调可访问,持续,全面和协调的护理.
研究的目的:
- 研究医疗家庭,发育监测/查和幼儿自闭症诊断之间的关系.
- 确定医疗家庭模型的特定组件是否与ASD识别比整体概念更强烈相关.
- 为医疗保健实践和未来研究提供信息,以优化早期ASD识别途径.
主要方法:
- 利用了2016-2020年全国儿童健康调查 (NSCH) 的数据.
- 分析了整体医疗家庭变量,其子尺度 (通常的护理来源,护理协调) 之间的关联,并确定了5岁以下儿童的ASD.
- 对与发展监测/查和ASD识别时间相关的关键变量进行控制.
主要成果:
- 整体医疗家庭变量与5岁以下儿童的自闭症识别存在很小的关系.
- 一个通常的护理来源与过去一年内的ASD识别有积极的关联.
- 护理协调与在过去一年内识别ASD有负面关联,这表明子尺度变化对影响结果的影响.
结论:
- 整体的医疗家庭结构可能无法完全捕捉到医疗保健服务如何影响ASD早期识别的细微差别.
- 医院的特定方面,如护理协调,似乎与及时识别自闭症有着重要的,尽管复杂的关系.
- 为了了解医疗家庭组件在现实临床环境中对ASD识别的应用影响,进一步的研究是必不可少的.
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