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Gepubliceerd in: Journal of Autism and Developmental Disorders 12/2018

07-07-2018 | Original Paper

Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder

Auteurs: Jeanne Van Cleave, Chloe Holifield, Ann M. Neumeyer, James M. Perrin, Erin Powers, Linda Van, Karen A. Kuhlthau

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2018

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Abstract

We examined barriers and facilitators to expanding primary care’s capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs’ ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.
Literatuur
go back to reference Christensen, D. L., Baio, J., Braun, K. V., Bilder, D., Charles, J., Constantino, J. N., et al. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveillance Summary, 65(3), 1–23. https://​doi.​org/​10.​15585/​mmwr.​ss6503a1. CrossRef Christensen, D. L., Baio, J., Braun, K. V., Bilder, D., Charles, J., Constantino, J. N., et al. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveillance Summary, 65(3), 1–23. https://​doi.​org/​10.​15585/​mmwr.​ss6503a1. CrossRef
go back to reference Glaser, B. (1965). The constant comparative method of qualitative analysis. Social Problems, 12, 436. CrossRef Glaser, B. (1965). The constant comparative method of qualitative analysis. Social Problems, 12, 436. CrossRef
Metagegevens
Titel
Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder
Auteurs
Jeanne Van Cleave
Chloe Holifield
Ann M. Neumeyer
James M. Perrin
Erin Powers
Linda Van
Karen A. Kuhlthau
Publicatiedatum
07-07-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 12/2018
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-018-3630-x