简短报告:儿童初级保健诊所对自闭症谱系障碍的综合评估
Serene Habayeb1, Anne Inge1, Erica Eisenman1
1Children's National Hospital, USA.
概括
一个新的计划培训了初级保健中的心理健康临床医生进行自闭症诊断评估,大大减少了服务不足的家庭的等待时间. 这种方法改善了早期诊断和获得服务的机会,解决了医疗保健不平等问题.
科学领域:
- 神经发育障碍 神经发育障碍
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 自闭症查在初级保健中很常见,但诊断往往会延迟数年.
- 系统性不平等,包括种族主义和社会经济地位,加剧了自闭症诊断和服务获取的延迟.
- 初级保健心理健康临床医生可以弥合诊断评估的差距,但往往缺乏自闭症特定培训.
研究的目的:
- 评估城市初级保健中心理健康专业人员的培训计划.
- 评估该计划在为服务不足的人群提供自闭症诊断评估方面的有效性.
- 确定以初级保健为基础的评估是否可以减少诊断延迟并改善获得服务的机会.
主要方法:
- 在初级保健中自闭症 (APC) 计划中,在城市初级保健环境中培训了心理健康临床医生.
- 评估是在初级保健机构内进行的,主要为有医疗补助保险的黑人和拉丁裔家庭提供服务.
- 对APC评估的等待时间与标准推途径进行了比较.
主要成果:
- 250名儿童通过APC计划完成了诊断评估.
- 与传统的自闭症诊所相比,APC计划的等待时间显著缩短.
- 推提供者和护理人员对基于初级保健的评估服务表示高度满意.
结论:
- 将自闭症诊断评估纳入初级保健机构是一个有前途的战略.
- 这种模式可以改善早期诊断和获得服务的机会,特别是在边缘化社区.
- 基于初级保健的评估有可能减少医疗保健不平等,提高儿童和护理人员的福祉.
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