General practice encounters for young patients with autism spectrum disorder in Australia / Kitty-Rose FOLEY in Autism, 22-7 (October 2018)  

Public ISBD [article]  inAutism > 22-7 (October 2018) . - p.784-793 Titre : General practice encounters for young patients with autism spectrum disorder in Australia Type de document : texte imprimé Auteurs : Kitty-Rose FOLEY, Auteur ; Allan POLLACK, Auteur ; Helena C. BRITT, Auteur ; Nicholas LENNOX, Auteur ; Julian N. TROLLOR, Auteur Article en page(s) : p.784-793 Langues : Anglais (eng) Mots-clés : autism  intellectual disability  mental health  primary health care Index. décimale : PER Périodiques Résumé : This study compared the patient demographics and reasons for encounter in general practice for patients <25 years with and without an autism spectrum disorder identified as a reason for encounter and/or problem managed. The Bettering the Evaluation and Care of Health programme collected information about clinical activities in Australian general practice. Each year, the programme recruited a random sample of 1000 general practitioners, each of whom collected data for 100 consecutive consultations (encounters). Encounters with patients <25 years, where at least one autism spectrum disorder was recorded as a reason for encounter and/or a problem managed (n = 579), were compared with all other encounters (n = 281,473) from April 2000 to March 2014 inclusive. Data were age-sex standardised. Patients at autism spectrum disorder encounters (compared to non-autism spectrum disorder encounters) were more likely to be younger and male. There was a dramatic rise in the number of general practitioner consultations at autism spectrum disorder encounters from 2000 to 2013. More reasons for encounter were recorded at autism spectrum disorder encounters than at non-autism spectrum disorder encounters (156.4 (95% confidence interval: 144.0-168.8) and 140.5 (95% confidence interval: 140.0-141.0), respectively). At autism spectrum disorder (vs non-autism spectrum disorder) encounters, there were more psychological, general and unspecified, and social reasons for encounter and fewer preventive and acute health reasons for encounter. People with an autism spectrum disorder have complex health care needs that require a skilled general practice workforce. En ligne : http://dx.doi.org/10.1177/1362361317702560 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=369 [article] General practice encounters for young patients with autism spectrum disorder in Australia [texte imprimé] / Kitty-Rose FOLEY, Auteur ; Allan POLLACK, Auteur ; Helena C. BRITT, Auteur ; Nicholas LENNOX, Auteur ; Julian N. TROLLOR, Auteur . - p.784-793. Langues : Anglais (eng) in Autism > 22-7 (October 2018) . - p.784-793 Mots-clés : autism  intellectual disability  mental health  primary health care Index. décimale : PER Périodiques Résumé : This study compared the patient demographics and reasons for encounter in general practice for patients <25 years with and without an autism spectrum disorder identified as a reason for encounter and/or problem managed. The Bettering the Evaluation and Care of Health programme collected information about clinical activities in Australian general practice. Each year, the programme recruited a random sample of 1000 general practitioners, each of whom collected data for 100 consecutive consultations (encounters). Encounters with patients <25 years, where at least one autism spectrum disorder was recorded as a reason for encounter and/or a problem managed (n = 579), were compared with all other encounters (n = 281,473) from April 2000 to March 2014 inclusive. Data were age-sex standardised. Patients at autism spectrum disorder encounters (compared to non-autism spectrum disorder encounters) were more likely to be younger and male. There was a dramatic rise in the number of general practitioner consultations at autism spectrum disorder encounters from 2000 to 2013. More reasons for encounter were recorded at autism spectrum disorder encounters than at non-autism spectrum disorder encounters (156.4 (95% confidence interval: 144.0-168.8) and 140.5 (95% confidence interval: 140.0-141.0), respectively). At autism spectrum disorder (vs non-autism spectrum disorder) encounters, there were more psychological, general and unspecified, and social reasons for encounter and fewer preventive and acute health reasons for encounter. People with an autism spectrum disorder have complex health care needs that require a skilled general practice workforce. En ligne : http://dx.doi.org/10.1177/1362361317702560 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=369

Problems managed and medications prescribed during encounters with people with autism spectrum disorder in Australian general practice / Rachael C. BIRCH in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.995-1004 Titre : Problems managed and medications prescribed during encounters with people with autism spectrum disorder in Australian general practice Type de document : texte imprimé Auteurs : Rachael C. BIRCH, Auteur ; Kitty-Rose FOLEY, Auteur ; Allan POLLACK, Auteur ; Helena BRITT, Auteur ; Nicholas LENNOX, Auteur ; Julian N. TROLLOR, Auteur Article en page(s) : p.995-1004 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  prescribing  psychological problems  psychotropic medication Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is associated with high rates of co-occurring health conditions. While elevated prescription rates of psychotropic medications have been reported in the United Kingdom and the United States, there is a paucity of research investigating clinical and prescribing practices in Australia. This study describes the problems managed and medications prescribed by general practitioners in Australia during encounters where an autism spectrum disorder was recorded. Information was collected from 2000 to 2014 as part of the Bettering the Evaluation and Care of Health programme. Encounters where patients were aged less than 25 years and autism spectrum disorder was recorded as one of the reasons for encounter and/or problems managed ( n = 579) were compared to all other Bettering the Evaluation and Care of Health programme encounters with patients aged less than 25 years ( n = 281,473). At 'autism spectrum disorder' encounters, there was a significantly higher management rate of psychological problems, and significantly lower management rates of skin, respiratory and general/unspecified problems, than at 'non-autism spectrum disorder' encounters. The rate of psychological medication prescription was significantly higher at 'autism spectrum disorder' encounters than at 'non-autism spectrum disorder' encounters. The most common medications prescribed at 'autism spectrum disorder' encounters were antipsychotics and antidepressants. Primary healthcare providers need adequate support and training to identify and manage physical and mental health concerns among individuals with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317714588 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 [article] Problems managed and medications prescribed during encounters with people with autism spectrum disorder in Australian general practice [texte imprimé] / Rachael C. BIRCH, Auteur ; Kitty-Rose FOLEY, Auteur ; Allan POLLACK, Auteur ; Helena BRITT, Auteur ; Nicholas LENNOX, Auteur ; Julian N. TROLLOR, Auteur . - p.995-1004. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.995-1004 Mots-clés : autism spectrum disorder  prescribing  psychological problems  psychotropic medication Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is associated with high rates of co-occurring health conditions. While elevated prescription rates of psychotropic medications have been reported in the United Kingdom and the United States, there is a paucity of research investigating clinical and prescribing practices in Australia. This study describes the problems managed and medications prescribed by general practitioners in Australia during encounters where an autism spectrum disorder was recorded. Information was collected from 2000 to 2014 as part of the Bettering the Evaluation and Care of Health programme. Encounters where patients were aged less than 25 years and autism spectrum disorder was recorded as one of the reasons for encounter and/or problems managed ( n = 579) were compared to all other Bettering the Evaluation and Care of Health programme encounters with patients aged less than 25 years ( n = 281,473). At 'autism spectrum disorder' encounters, there was a significantly higher management rate of psychological problems, and significantly lower management rates of skin, respiratory and general/unspecified problems, than at 'non-autism spectrum disorder' encounters. The rate of psychological medication prescription was significantly higher at 'autism spectrum disorder' encounters than at 'non-autism spectrum disorder' encounters. The most common medications prescribed at 'autism spectrum disorder' encounters were antipsychotics and antidepressants. Primary healthcare providers need adequate support and training to identify and manage physical and mental health concerns among individuals with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317714588 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370

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