改善获得自闭症评估的机会:一个协调的发育行为儿科和儿科神经病诊断途径
Barbara Braddock1, Katharyn Turner1, Krithika Kumarason2
1Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, SSM Health Cardinal Glennon Children's Hospital, Saint Louis University School of Medicine, St. Louis, Missouri.
Missouri medicine
|June 10, 2024
概括
长期的自闭症诊断等待时间因新的协调护理途径而减少. 这种方法改善了儿童和家庭获得自闭症评估的机会,显著减少了等待时间.
科学领域:
- 发育儿科 发育儿科
- 儿科神经学 儿科神经学
- 自闭症诊断 自闭症诊断
背景情况:
- 发展行为儿科医生的短缺造成了自闭症诊断服务的重大延迟.
- 目前对自闭症评估的等待时间往往超过一年,影响及时干预.
- 对于寻求自闭症诊断的儿童和家庭来说,获得专业护理的限制构成了挑战.
研究的目的:
- 评估一个协调自闭症诊断途径之间的发育行为儿科和儿科神经病学.
- 评估这种综合途径对减少自闭症评估等待时间的影响.
- 为了确定家长对协调诊断过程的满意度.
主要方法:
- 实施了一种协作自闭症诊断途径,涉及儿童神经病学家和发育评估专家.
- 儿童神经病学家进行了医学评估,而心理学家/语音病理学家进行了发育评估.
- 在六个月内使用协调途径评估了44例自闭症诊断病例.
主要成果:
- 协调途径显著缩短了自闭症评估等待时间,平均为50.89天.
- 等待时间从3天到184天不等,中位数为48.50天.
- 父母对自闭症评估过程和资源导航表示高度满意.
结论:
- 协调的发育行为儿科和儿童神经病学途径有效地减少了自闭症诊断等待时间.
- 这种综合模型改善了需要自闭症评估的儿童获得护理的机会.
- 该途径展示了可持续和可扩展的实施潜力,以解决诊断瓶.
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