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Antipsychotic Use and Metabolic Monitoring in Individuals with Developmental Disabilities Served in a Medicaid Medical Home / Lisa M. RUIZ in Journal of Autism and Developmental Disorders, 46-6 (June 2016)
[article]
Titre : Antipsychotic Use and Metabolic Monitoring in Individuals with Developmental Disabilities Served in a Medicaid Medical Home Type de document : Texte imprimé et/ou numérique Auteurs : Lisa M. RUIZ, Auteur ; Mackenzie DAMRON, Auteur ; Kyle B. JONES, Auteur ; Dean WEEDON, Auteur ; Paul S. CARBONE, Auteur ; Amanda V. BAKIAN, Auteur ; Deborah A. BILDER, Auteur Article en page(s) : p.1887-1894 Langues : Anglais (eng) Mots-clés : Antipsychotics Autism spectrum disorder Intellectual disability Medical home Index. décimale : PER Périodiques Résumé : This study describes antipsychotic use and metabolic monitoring rates among individuals with developmental disabilities enrolled in a subspecialty medical home (N = 826). Four hundred ninety-nine participants (60.4 %) were taking antipsychotics, which was associated with male gender (p = 0.01), intellectual disability with and without autism spectrum disorder (p = 0.001 and p = 0.04, respectively), and inversely associated with the youngest and oldest age categories (p = 0.001 and p = 0.04, respectively). Among those taking antipsychotics, annual metabolic monitoring rates ranged from 89 % (lipids) to 99 % (weight). Age was positively associated with glucose (p < 0.001) and lipid monitoring (p < 0.001). Adult participants with dyslipidemia (p < 0.01), prediabetes/diabetes (p = 0.04), and hypertension (p = 0.02) were significantly more likely to obtain lipid monitoring. These values exceeded previously reported rates suggesting the importance of an integrated care model. En ligne : http://dx.doi.org/10.1007/s10803-016-2712-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288
in Journal of Autism and Developmental Disorders > 46-6 (June 2016) . - p.1887-1894[article] Antipsychotic Use and Metabolic Monitoring in Individuals with Developmental Disabilities Served in a Medicaid Medical Home [Texte imprimé et/ou numérique] / Lisa M. RUIZ, Auteur ; Mackenzie DAMRON, Auteur ; Kyle B. JONES, Auteur ; Dean WEEDON, Auteur ; Paul S. CARBONE, Auteur ; Amanda V. BAKIAN, Auteur ; Deborah A. BILDER, Auteur . - p.1887-1894.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 46-6 (June 2016) . - p.1887-1894
Mots-clés : Antipsychotics Autism spectrum disorder Intellectual disability Medical home Index. décimale : PER Périodiques Résumé : This study describes antipsychotic use and metabolic monitoring rates among individuals with developmental disabilities enrolled in a subspecialty medical home (N = 826). Four hundred ninety-nine participants (60.4 %) were taking antipsychotics, which was associated with male gender (p = 0.01), intellectual disability with and without autism spectrum disorder (p = 0.001 and p = 0.04, respectively), and inversely associated with the youngest and oldest age categories (p = 0.001 and p = 0.04, respectively). Among those taking antipsychotics, annual metabolic monitoring rates ranged from 89 % (lipids) to 99 % (weight). Age was positively associated with glucose (p < 0.001) and lipid monitoring (p < 0.001). Adult participants with dyslipidemia (p < 0.01), prediabetes/diabetes (p = 0.04), and hypertension (p = 0.02) were significantly more likely to obtain lipid monitoring. These values exceeded previously reported rates suggesting the importance of an integrated care model. En ligne : http://dx.doi.org/10.1007/s10803-016-2712-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288 Autism and Pediatric Practice: Toward a Medical Home / Susan L. HYMAN in Journal of Autism and Developmental Disorders, 42-6 (June 2012)
[article]
Titre : Autism and Pediatric Practice: Toward a Medical Home Type de document : Texte imprimé et/ou numérique Auteurs : Susan L. HYMAN, Auteur ; Jara K. JOHNSON, Auteur Année de publication : 2012 Article en page(s) : p.1156-1164 Langues : Anglais (eng) Mots-clés : Medical Home Screening Pediatric practice Autism spectrum disorders Index. décimale : PER Périodiques Résumé : The pediatrician sees a child for 11 well child visits by their third birthday. The provision of continuous primary care supports development of trust with parents, provides opportunity for screening and surveillance of autism spectrum disorders (ASD), allows monitoring the progress of children requiring therapy, and a framework to support and educate families. Families of children with ASD are less likely to report that they receive care in a Medical Home, a practice providing coordinated, accessible, continuous, culturally competent care. They report less access to specialty and family focused care compared to other children with special health care needs. It is a major challenge to identify and effect the solutions necessary to bring Medical Home care to all children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-012-1474-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=157
in Journal of Autism and Developmental Disorders > 42-6 (June 2012) . - p.1156-1164[article] Autism and Pediatric Practice: Toward a Medical Home [Texte imprimé et/ou numérique] / Susan L. HYMAN, Auteur ; Jara K. JOHNSON, Auteur . - 2012 . - p.1156-1164.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 42-6 (June 2012) . - p.1156-1164
Mots-clés : Medical Home Screening Pediatric practice Autism spectrum disorders Index. décimale : PER Périodiques Résumé : The pediatrician sees a child for 11 well child visits by their third birthday. The provision of continuous primary care supports development of trust with parents, provides opportunity for screening and surveillance of autism spectrum disorders (ASD), allows monitoring the progress of children requiring therapy, and a framework to support and educate families. Families of children with ASD are less likely to report that they receive care in a Medical Home, a practice providing coordinated, accessible, continuous, culturally competent care. They report less access to specialty and family focused care compared to other children with special health care needs. It is a major challenge to identify and effect the solutions necessary to bring Medical Home care to all children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-012-1474-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=157 Autism-Specific Primary Care Medical Home Intervention / Allison E. GOLNIK in Journal of Autism and Developmental Disorders, 42-6 (June 2012)
[article]
Titre : Autism-Specific Primary Care Medical Home Intervention Type de document : Texte imprimé et/ou numérique Auteurs : Allison E. GOLNIK, Auteur ; Peter SCAL, Auteur ; Andrew WEY, Auteur ; Philippe GAILLARD, Auteur Année de publication : 2012 Article en page(s) : p.1087-1093 Langues : Anglais (eng) Mots-clés : Autism Medical home Care coordination Primary care Index. décimale : PER Périodiques Résumé : Forty-six subjects received primary medical care within an autism-specific medical home intervention (www.autismmedicalhome.com) and 157 controls received standard primary medical care. Subjects and controls had autism spectrum disorder diagnoses. Thirty-four subjects (74%) and 62 controls (40%) completed pre and post surveys. Controlling for pre-survey medical home status, subjects had 250% greater odds of receipt of a medical home at the study end compared to controls (p = 0.021). Compared to controls, subjects receiving the intervention reported significantly more satisfaction (p = 0.0004), greater shared decision making (p = 0.0005) and fewer unmet needs (p = 0.067). However, subjects reported no change in family stress (p = 0.204). En ligne : http://dx.doi.org/10.1007/s10803-011-1351-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=156
in Journal of Autism and Developmental Disorders > 42-6 (June 2012) . - p.1087-1093[article] Autism-Specific Primary Care Medical Home Intervention [Texte imprimé et/ou numérique] / Allison E. GOLNIK, Auteur ; Peter SCAL, Auteur ; Andrew WEY, Auteur ; Philippe GAILLARD, Auteur . - 2012 . - p.1087-1093.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 42-6 (June 2012) . - p.1087-1093
Mots-clés : Autism Medical home Care coordination Primary care Index. décimale : PER Périodiques Résumé : Forty-six subjects received primary medical care within an autism-specific medical home intervention (www.autismmedicalhome.com) and 157 controls received standard primary medical care. Subjects and controls had autism spectrum disorder diagnoses. Thirty-four subjects (74%) and 62 controls (40%) completed pre and post surveys. Controlling for pre-survey medical home status, subjects had 250% greater odds of receipt of a medical home at the study end compared to controls (p = 0.021). Compared to controls, subjects receiving the intervention reported significantly more satisfaction (p = 0.0004), greater shared decision making (p = 0.0005) and fewer unmet needs (p = 0.067). However, subjects reported no change in family stress (p = 0.204). En ligne : http://dx.doi.org/10.1007/s10803-011-1351-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=156 Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment / J. F. HINE in Journal of Autism and Developmental Disorders, 48-8 (August 2018)
[article]
Titre : Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment Type de document : Texte imprimé et/ou numérique Auteurs : J. F. HINE, Auteur ; C. G. HERRINGTON, Auteur ; A. M. ROTHMAN, Auteur ; R. L. MACE, Auteur ; B. L. PATTERSON, Auteur ; K. L. CARLSON, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.2846-2853 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Diagnosis Medical home Primary care Screening Index. décimale : PER Périodiques Résumé : Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics. Findings support that embedded processes for effective triage and diagnosis within the medical home is a viable mechanism for efficient access to diagnostic services and assists in bypassing a common barrier to specialized services. En ligne : http://dx.doi.org/10.1007/s10803-018-3548-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367
in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2846-2853[article] Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment [Texte imprimé et/ou numérique] / J. F. HINE, Auteur ; C. G. HERRINGTON, Auteur ; A. M. ROTHMAN, Auteur ; R. L. MACE, Auteur ; B. L. PATTERSON, Auteur ; K. L. CARLSON, Auteur ; Zachary WARREN, Auteur . - p.2846-2853.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2846-2853
Mots-clés : Autism spectrum disorder Diagnosis Medical home Primary care Screening Index. décimale : PER Périodiques Résumé : Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics. Findings support that embedded processes for effective triage and diagnosis within the medical home is a viable mechanism for efficient access to diagnostic services and assists in bypassing a common barrier to specialized services. En ligne : http://dx.doi.org/10.1007/s10803-018-3548-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders / Nancy C. CHEAK-ZAMORA in Journal of Autism and Developmental Disorders, 45-3 (March 2015)
[article]
Titre : The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Nancy C. CHEAK-ZAMORA, Auteur ; Janet E. FARMER, Auteur Article en page(s) : p.636-644 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Delivery of health care Unmet needs Medical home Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorders (ASD) experience difficulty accessing health care services. Using parent-reported data from the 2009–2010 National Survey of Children with Special Health Care Needs, we examined whether having a medical home reduces unmet need for specialty care services for children with ASD (n = 3,055). Descriptive statistics and Chi square tests identified sample characteristics and examined the relationship between unmet needs and a standardized measure of medical home. Logistic regression models explored the individual impact of demographic, condition-specific and medical home variables on unmet need. Parents reported that nearly all children had a need for specialty services, 36 % had an unmet need, and 23.9 % had a medical home. Children who had fewer unmet needs were more likely to have received family-centered and coordinated care through a medical home, and this relationship remained significant even when demographic and condition-specific variables were taken into account. These findings suggest ways to improve access to care for children with ASD through enhanced family-centered and coordinated care within the medical home. En ligne : http://dx.doi.org/10.1007/s10803-014-2218-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258
in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.636-644[article] The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Nancy C. CHEAK-ZAMORA, Auteur ; Janet E. FARMER, Auteur . - p.636-644.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.636-644
Mots-clés : Autism spectrum disorder Delivery of health care Unmet needs Medical home Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorders (ASD) experience difficulty accessing health care services. Using parent-reported data from the 2009–2010 National Survey of Children with Special Health Care Needs, we examined whether having a medical home reduces unmet need for specialty care services for children with ASD (n = 3,055). Descriptive statistics and Chi square tests identified sample characteristics and examined the relationship between unmet needs and a standardized measure of medical home. Logistic regression models explored the individual impact of demographic, condition-specific and medical home variables on unmet need. Parents reported that nearly all children had a need for specialty services, 36 % had an unmet need, and 23.9 % had a medical home. Children who had fewer unmet needs were more likely to have received family-centered and coordinated care through a medical home, and this relationship remained significant even when demographic and condition-specific variables were taken into account. These findings suggest ways to improve access to care for children with ASD through enhanced family-centered and coordinated care within the medical home. En ligne : http://dx.doi.org/10.1007/s10803-014-2218-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258 Systematic review of disparities in health care for individuals with autism spectrum disorders in the United States / Megan K. TREGNAGO in Research in Autism Spectrum Disorders, 6-3 (July-September 2012)
PermalinkHealth Care Transition Planning Among Adolescents with Autism Spectrum Disorder / Casey WALSH in Journal of Autism and Developmental Disorders, 47-4 (April 2017)
PermalinkParent and Pediatrician Perspectives Regarding the Primary Care of Children with Autism Spectrum Disorders / Paul S. CARBONE in Journal of Autism and Developmental Disorders, 43-4 (April 2013)
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