华盛顿:初级保健中的自闭症诊断评估
Jennifer Gerdts1, Karís A Casagrande1, Katherine J Bateman2
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Clinical pediatrics
|June 3, 2024
概括
社区医疗保健成果扩展 (ECHO) 自闭症计划显著增加了儿科提供者对自闭症的诊断. 参与也减少了障碍和诊断转诊,提高了社区自闭症护理能力.
科学领域:
- 儿科健康 儿科健康
- 医疗保健教育 医疗保健教育
- 自闭症谱系障碍 自闭症谱系障碍
背景情况:
- 社区医疗保健提供者在诊断自闭症谱系障碍 (ASD) 时面临着挑战.
- 社区医疗保健成果扩展 (ECHO) 模型提供远程辅导以提高专业护理能力.
- 华盛顿的ECHO自闭症旨在改善初级保健机构在自闭症相关的医疗保健服务.
研究的目的:
- 评估ECHO自闭症华盛顿计划对儿科提供者的诊断实践和信心的影响.
- 评估报告的自闭症诊断和治疗障碍的变化.
- 测量该计划对专门自闭症诊所转诊的影响.
主要方法:
- 77名儿科提供者参加了ECHO自闭症华盛顿远程辅导计划的一年.
- 自我报告调查被用来评估自闭症诊断,障碍,信心和推的变化.
- 使用了包括ANOVA和t测试在内的统计分析来比较计划前和后的数据,并与对照组进行比较.
主要成果:
- 一年后,ECHO提供者显示自闭症诊断的显著增加 (P = .008).
- 更高的出席率与更多的诊断相关 (P = .045). 报告的障碍物显著减少 (P < .001),信心增加 (P < .001).
- 在ECHO提供者中,与非ECHO提供者相比,向专业自闭症诊所的转诊显著减少 (P < .001).
结论:
- 在ECHO自闭症华盛顿参与一年的时间里,儿科提供者在自闭症诊断实践中取得了显著的改进.
- 该计划有效地提高了诊断能力,减少了障碍,并增强了提供者对自闭症管理的信心.
- 在扩大以社区为基础的自闭症医疗保健服务方面,ECHO自闭症模型显示出前景.
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