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将家庭导航集成到ECHO自闭症中,用于贫困社区的儿科初级保健
Micah O Mazurek1, Rose E Nevill2, Karen Orlando2
1Department of Human Services, School of Education and Human Development, University of Virginia, 417 Emmet Street South, PO Box 400267, Charlottesville, VA, 22904, USA. mm5gt@virginia.edu.
Journal of autism and developmental disorders
|July 2, 2024
概括
通过ECHO自闭症链接计划,提高了初级保健提供者对照顾自闭症儿童的信心. 这种综合培训和家庭导航模型显示了改善早期干预服务的机会.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 自闭症谱系障碍干预干预
- 医疗保健 医疗保健 获得 公平 平等
背景情况:
- 来自服务不足社区的自闭症儿童面临诊断和早期干预的重大障碍.
- 现有的医疗保健系统往往难以弥合自闭症查和服务获取之间的差距.
- 为了应对这些挑战,开发了一项新的计划,将初级保健提供者 (PCP) 培训与家庭导航 (FN) 结合起来.
研究的目的:
- 评估ECHO自闭症链接计划的初步效果和可行性.
- 评估综合PCP培训和FN对弥合自闭症护理获取差距的影响.
- 确定这种创新的医疗保健模式的可接受性和初步有效性.
主要方法:
- 这项研究涉及42名儿科初级保健提供者 (PCP) 的三个队列,持续了12个月.
- PCP参加了每两个月的60分钟的虚拟会议,包括教学,基于案例的学习和专家合作.
- 家庭导航者为参与PCP推的家庭提供直接服务,解决服务访问和连接需求.
主要成果:
- PCP在自闭症护理的自我效能方面显著改善,并报告了高满意度.
- 该计划成功将258个家庭转介给家庭导航服务,其中83%需要帮助连接到服务.
- 参与和参与该计划的参与度很强,有40个案例被介绍.
结论:
- 该ECHO自闭症链接计划是可行的,可以接受的,并证明了初步的有效性.
- 综合模型在克服自闭症儿童获得医疗保健的复杂障碍方面表现有前途.
- 需要进一步的研究来证实该计划对儿童和家庭结果的有效性和有效性.
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