Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder / J. VAN CLEAVE in Journal of Autism and Developmental Disorders, 48-12 (December 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4222-4230 Titre : Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : J. VAN CLEAVE, Auteur ; C. HOLIFIELD, Auteur ; A. M. NEUMEYER, Auteur ; J. M. PERRIN, Auteur ; E. POWERS, Auteur ; L. VAN, Auteur ; Karen A. KUHLTHAU, Auteur Article en page(s) : p.4222-4230 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Healthcare delivery  Primary care  Quality improvement  Subspecialty care Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-018-3630-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 [article] Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / J. VAN CLEAVE, Auteur ; C. HOLIFIELD, Auteur ; A. M. NEUMEYER, Auteur ; J. M. PERRIN, Auteur ; E. POWERS, Auteur ; L. VAN, Auteur ; Karen A. KUHLTHAU, Auteur . - p.4222-4230. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4222-4230 Mots-clés : Autism spectrum disorders  Healthcare delivery  Primary care  Quality improvement  Subspecialty care Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-018-3630-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371

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