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澳大利亚初级医疗保健机构中关于自闭症早期发育监测的全科医生观点:一项定性研究
Josephine Barbaro1,2, Teresa Winata3,4,5, Melissa Gilbert1,2
1Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia.
BMC primary care
|August 10, 2023
概括
早期发现包括自闭症在内的发育障碍至关重要. 这项研究探讨了澳大利亚全科医生 (GPs) 与数字监控计划的经验,识别了支持者,如增强的沟通和障碍,如有限的资源,建议实践和政策变化,以改善儿童健康结果.
科学领域:
- 儿童发展 儿童发展
- 发育障碍的监督 发展障碍的监督
- 主要医疗保健研究研究.
背景情况:
- 早期识别儿童发育障碍,包括自闭症,给社区带来了重大挑战.
- 早期干预服务改善了高风险儿童的发展结果.
- 这项研究考察了澳大利亚全科医生 (GPs) 对数字发育监测计划与常规护理的观点.
研究的目的:
- 将澳大利亚全科医生的经验与自闭症的数字发育监测计划和通常的护理途径进行比较.
- 确定在初级保健机构实施数字发育监测的促进者和障碍.
- 为早期识别发育障碍提供实践和政策信息.
主要方法:
- 使用与全科医生的半结构面试进行的定性研究方法.
- 有根据的理论方法与采访数据的诱导性主题分析.
- 采访了新南威尔士州和维多利亚州的23名全科医生,使用NVivo12进行了分析.
主要成果:
- 出现了八个主要主题,突出了GP在早期识别和支持方面的关键作用,加强了沟通,以及标准化查工具的价值.
- 促进者包括数字程序的可行性和可接受性用于早期自闭症检测.
- 障碍包括实际/社会经济挑战,有限的查工具知识和COVID-19的影响.
结论:
- 需要改变实践和政策,包括加强全科医生培训,专用时间进行发育检查,并提供适当的报酬.
- 进一步的研究对于实施和扩大国家早期识别发展障碍,包括自闭症的监测计划至关重要.
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