为了更公平的护理:更仔细地看看自闭症诊所的摄入实践和文书工作
Anisha P Srinivasan1,2, Erika Phelps Nishiguchi3,4, Cassandra Gonzalez5
1Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, University of California, Davis, Sacramento, CA.
Journal of developmental and behavioral pediatrics : JDBP
|August 14, 2024
概括
许多自闭症诊所需要预约的文件,这些文件通常很长,只用英语,而且不容易阅读. 这造成了进入自闭症诊断评估的障碍,特别是对于有语言或识字需求的家庭.
科学领域:
- 临床心理学 临床心理学
- 发育儿科 发育儿科
- 卫生识字 卫生识字
背景情况:
- 自闭症诊断评估对于早期干预和支持至关重要.
- 摄入流程可以显著影响一个家庭获取服务的能力.
- 国家标准强调医疗保健中的语言和识字能力.
研究的目的:
- 检查自闭症诊所的摄入要求和文书工作实践.
- 评估招生文件与健康素养标准的协调程度.
- 识别自闭症诊断中公平获取障碍的障碍.
主要方法:
- 2021年11月至2022年8月期间对126家自闭症诊所 (儿童医院协会) 进行调查.
- 分析摄入流程,文书可读性和支持策略.
- 后勤回归用于评估患者的人口统计和文书要求.
主要成果:
- 73%的诊所做出了回应;55%的诊所要求在预约前进行摄入文件.
- 34%的人只提供英语表单;89%的人缺乏普通语言表单.
- 摄入包平均有11页,超过五年级的阅读水平.
结论:
- 许多自闭症诊所的录取文件工作阻碍了公平获取.
- 当前的做法往往无法达到健康素养标准.
- 减少文书工作和加强支持可以改善对自闭症评估的准入.
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