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Practice Patterns for Early Screening and Evaluation for Autism Spectrum Disorder Diagnosis in Bulgaria / Georgi ISKROV in Journal of Autism and Developmental Disorders, 51-3 (March 2021)
[article]
Titre : Practice Patterns for Early Screening and Evaluation for Autism Spectrum Disorder Diagnosis in Bulgaria Type de document : Texte imprimé et/ou numérique Auteurs : Georgi ISKROV, Auteur ; Georgi VASILEV, Auteur ; Martin MITEV, Auteur ; Ralitsa NIKOLOVA, Auteur ; Mariya STOYKOVA, Auteur ; Rumen STEFANOV, Auteur Article en page(s) : p.778-789 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Delay Diagnosis Early detection Health policy Health services research Index. décimale : PER Périodiques Résumé : The aims of this study were to describe the practice patterns for early screening and evaluation for ASD diagnosis in Bulgaria, as well as to identify potential barriers and facilitators in this process. We surveyed a sample of pediatricians and pediatric psychiatrists to analyze the use of standardized instruments, application of biomarkers, parental collaboration and future policy prospects. We found a significant support for the idea of a national program for ASD in Bulgaria. These insights provide an evidence-based analysis that could help improve services, guide research and inform policies in regard to ASD. Further work is necessary to better understand other stakeholders' opinions and perspectives, especially those of patients and their families. En ligne : http://dx.doi.org/10.1007/s10803-019-04170-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443
in Journal of Autism and Developmental Disorders > 51-3 (March 2021) . - p.778-789[article] Practice Patterns for Early Screening and Evaluation for Autism Spectrum Disorder Diagnosis in Bulgaria [Texte imprimé et/ou numérique] / Georgi ISKROV, Auteur ; Georgi VASILEV, Auteur ; Martin MITEV, Auteur ; Ralitsa NIKOLOVA, Auteur ; Mariya STOYKOVA, Auteur ; Rumen STEFANOV, Auteur . - p.778-789.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-3 (March 2021) . - p.778-789
Mots-clés : Autism spectrum disorder Delay Diagnosis Early detection Health policy Health services research Index. décimale : PER Périodiques Résumé : The aims of this study were to describe the practice patterns for early screening and evaluation for ASD diagnosis in Bulgaria, as well as to identify potential barriers and facilitators in this process. We surveyed a sample of pediatricians and pediatric psychiatrists to analyze the use of standardized instruments, application of biomarkers, parental collaboration and future policy prospects. We found a significant support for the idea of a national program for ASD in Bulgaria. These insights provide an evidence-based analysis that could help improve services, guide research and inform policies in regard to ASD. Further work is necessary to better understand other stakeholders' opinions and perspectives, especially those of patients and their families. En ligne : http://dx.doi.org/10.1007/s10803-019-04170-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 US state variation in autism insurance mandates: Balancing access and fairness / Rebecca A JOHNSON in Autism, 18-7 (October 2014)
[article]
Titre : US state variation in autism insurance mandates: Balancing access and fairness Type de document : Texte imprimé et/ou numérique Auteurs : Rebecca A JOHNSON, Auteur ; Marion DANIS, Auteur ; Chris HAFNER-EATON, Auteur Article en page(s) : p.803-814 Langues : Anglais (eng) Mots-clés : autism distributive justice ethics health policy private insurance mandates Index. décimale : PER Périodiques Résumé : This article examines how nations split decision-making about health services between federal and sub-federal levels, creating variation between states or provinces. When is this variation ethically acceptable? We identify three sources of ethical acceptability—procedural fairness, value pluralism, and substantive fairness—and examine these sources with respect to a case study: the fact that only 30 out of 51 US states or territories passed mandates requiring private insurers to offer extensive coverage of autism behavioral therapies, creating variation for privately insured children living in different US states. Is this variation ethically acceptable? To address this question, we need to analyze whether mandates go to more or less needy states and whether the mandates reflect value pluralism between states regarding government’s role in health care. Using time-series logistic regressions and data from National Survey of Children with Special Health Care Needs, Individual with Disabilities Education Act, legislature political composition, and American Board of Pediatrics workforce data, we find that the states in which mandates are passed are less needy than states in which mandates have not been passed, what we call a cumulative advantage outcome that increases between-state disparities rather than a compensatory outcome that decreases between-state disparities. Concluding, we discuss the implications of our analysis for broader discussions of variation in health services provision. En ligne : http://dx.doi.org/10.1177/1362361314529191 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241
in Autism > 18-7 (October 2014) . - p.803-814[article] US state variation in autism insurance mandates: Balancing access and fairness [Texte imprimé et/ou numérique] / Rebecca A JOHNSON, Auteur ; Marion DANIS, Auteur ; Chris HAFNER-EATON, Auteur . - p.803-814.
Langues : Anglais (eng)
in Autism > 18-7 (October 2014) . - p.803-814
Mots-clés : autism distributive justice ethics health policy private insurance mandates Index. décimale : PER Périodiques Résumé : This article examines how nations split decision-making about health services between federal and sub-federal levels, creating variation between states or provinces. When is this variation ethically acceptable? We identify three sources of ethical acceptability—procedural fairness, value pluralism, and substantive fairness—and examine these sources with respect to a case study: the fact that only 30 out of 51 US states or territories passed mandates requiring private insurers to offer extensive coverage of autism behavioral therapies, creating variation for privately insured children living in different US states. Is this variation ethically acceptable? To address this question, we need to analyze whether mandates go to more or less needy states and whether the mandates reflect value pluralism between states regarding government’s role in health care. Using time-series logistic regressions and data from National Survey of Children with Special Health Care Needs, Individual with Disabilities Education Act, legislature political composition, and American Board of Pediatrics workforce data, we find that the states in which mandates are passed are less needy than states in which mandates have not been passed, what we call a cumulative advantage outcome that increases between-state disparities rather than a compensatory outcome that decreases between-state disparities. Concluding, we discuss the implications of our analysis for broader discussions of variation in health services provision. En ligne : http://dx.doi.org/10.1177/1362361314529191 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241