在儿科初级保健中对自闭症谱系障碍的诊断评估
Arwa K Nasir1, Whitney Strong-Bak1, Marie Bernard1
1University of Nebraska Medical Center, Omaha, NE, USA.
Journal of primary care & community health
|April 23, 2024
概括
初级保健儿科医生在幼儿中诊断自闭症谱系障碍 (ASD) 显著减少了诊断年龄和等待时间. 这种模式改善了ASD儿童早期获得关键干预措施的机会.
科学领域:
- 提供儿科医疗保健服务.
- 自闭症谱系障碍的诊断 诊断 自闭症谱系障碍的诊断
- 发育行为儿科 发育行为儿科
背景情况:
- 患有自闭症谱系障碍 (ASD) 的儿童因专家短缺而面临诊断和干预的延迟.
- 初级保健儿科医生 (PCP) 可以可靠地评估ASD,缩短从关注到诊断的时间.
- 一个以初级保健为基础的ASD诊断计划被实施以解决这些延迟.
研究的目的:
- 介绍一项初级保健ASD诊断计划的结果.
- 评估PCP作为ASD主要诊断者的有效性.
- 评估家长对ASD诊断和支持的初级保健医疗家庭模型的满意度.
主要方法:
- 对该计划中评估的儿童患者数据的回顾性分析.
- 确定诊断时的平均年龄和转诊诊断间隔.
- 调查方法用于收集家长满意度数据.
主要成果:
- 诊断时的中位年龄为34.5个月,而全国平均年龄为49个月.
- 从转诊到诊断的平均间隔为3.5个月.
- 家长们表示对这个节目非常满意.
结论:
- 初级保健模式成功地减少了ASD诊断的年龄和转诊到诊断的时间.
- 这种模型的广泛采用可以提高获得及时的ASD诊断服务的机会.
- 改善接入可以为患有自闭症儿童带来更好的结果.
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