Centre d'Information et de documentation du CRA Rhône-Alpes
CRA
Informations pratiques
-
Adresse
Centre d'information et de documentation
du CRA Rhône-Alpes
Centre Hospitalier le Vinatier
bât 211
95, Bd Pinel
69678 Bron CedexHoraires
Lundi au Vendredi
9h00-12h00 13h30-16h00Contact
Tél: +33(0)4 37 91 54 65
Mail
Fax: +33(0)4 37 91 54 37
-
Résultat de la recherche
6 recherche sur le mot-clé 'Primary Health Care'
Affiner la recherche Générer le flux rss de la recherche
Partager le résultat de cette recherche Faire une suggestion
Addressing current barriers to autism diagnoses through a tiered diagnostic approach involving pediatric primary care providers / Andrea TRUBANOVA WIECKOWSKI in Autism Research, 15-12 (December 2022)
[article]
Titre : Addressing current barriers to autism diagnoses through a tiered diagnostic approach involving pediatric primary care providers Type de document : Texte imprimé et/ou numérique Auteurs : Andrea TRUBANOVA WIECKOWSKI, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Sarabeth BRODER-FINGERT, Auteur ; Diana L. ROBINS, Auteur Article en page(s) : p.2216-2222 Langues : Anglais (eng) Mots-clés : Child Humans Child, Preschool Autistic Disorder Autism Spectrum Disorder/diagnosis/therapy Primary Health Care autism spectrum disorder diagnosis early detection primary care Index. décimale : PER Périodiques Résumé : Formal autism diagnosis from a specialist trained in autism assessment is customary prior to a child accessing early, intensive autism-specific services. However, long wait lists for diagnostic evaluations and limited specialty workforce have created substantial delays. Additionally, lengthy multidisciplinary evaluations are costly to insurers, inconvenient to families, and disproportionally impact under-resourced families. Diagnostic delays can impede access to intervention services. These barriers, combined with evidence regarding the importance of receiving early, autism-specific treatment, demand new approaches enabling access to autism specific services before comprehensive evaluation. Pediatric primary care providers (PCPs) are often the only health care professionals with whom a family interacts during early childhood and can play a crucial role in helping children with autism symptoms access services. Many strategies for autism diagnosis in primary care are being developed and tested; however, they have yet to be broadly adopted by PCPs, primarily due to critical implementation barriers in primary care settings. There is also not enough evidence on the accuracy of PCPs' diagnostic impressions without extensive specialty support, resulting in PCP hesitancy in diagnosing ASD, as well as family and service provider hesitancy in accepting a PCP autism diagnosis. In this commentary, we explore the acute need for shortening waitlists for autism evaluations through a tiered diagnostic approach, in which PCPs can rule in or rule out autism in children, for whom diagnosis is clear, and refer more complex cases for specialist evaluations, and explore implementation challenges to this approach. En ligne : http://dx.doi.org/10.1002/aur.2832 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488
in Autism Research > 15-12 (December 2022) . - p.2216-2222[article] Addressing current barriers to autism diagnoses through a tiered diagnostic approach involving pediatric primary care providers [Texte imprimé et/ou numérique] / Andrea TRUBANOVA WIECKOWSKI, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Sarabeth BRODER-FINGERT, Auteur ; Diana L. ROBINS, Auteur . - p.2216-2222.
Langues : Anglais (eng)
in Autism Research > 15-12 (December 2022) . - p.2216-2222
Mots-clés : Child Humans Child, Preschool Autistic Disorder Autism Spectrum Disorder/diagnosis/therapy Primary Health Care autism spectrum disorder diagnosis early detection primary care Index. décimale : PER Périodiques Résumé : Formal autism diagnosis from a specialist trained in autism assessment is customary prior to a child accessing early, intensive autism-specific services. However, long wait lists for diagnostic evaluations and limited specialty workforce have created substantial delays. Additionally, lengthy multidisciplinary evaluations are costly to insurers, inconvenient to families, and disproportionally impact under-resourced families. Diagnostic delays can impede access to intervention services. These barriers, combined with evidence regarding the importance of receiving early, autism-specific treatment, demand new approaches enabling access to autism specific services before comprehensive evaluation. Pediatric primary care providers (PCPs) are often the only health care professionals with whom a family interacts during early childhood and can play a crucial role in helping children with autism symptoms access services. Many strategies for autism diagnosis in primary care are being developed and tested; however, they have yet to be broadly adopted by PCPs, primarily due to critical implementation barriers in primary care settings. There is also not enough evidence on the accuracy of PCPs' diagnostic impressions without extensive specialty support, resulting in PCP hesitancy in diagnosing ASD, as well as family and service provider hesitancy in accepting a PCP autism diagnosis. In this commentary, we explore the acute need for shortening waitlists for autism evaluations through a tiered diagnostic approach, in which PCPs can rule in or rule out autism in children, for whom diagnosis is clear, and refer more complex cases for specialist evaluations, and explore implementation challenges to this approach. En ligne : http://dx.doi.org/10.1002/aur.2832 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 Primary Care Provider and Child Characteristics Associated with Age of Diagnosis of Autism Spectrum Disorder: A Population-Based Cohort Study / Ayesha SIDDIQUA in Journal of Autism and Developmental Disorders, 52-7 (July 2022)
[article]
Titre : Primary Care Provider and Child Characteristics Associated with Age of Diagnosis of Autism Spectrum Disorder: A Population-Based Cohort Study Type de document : Texte imprimé et/ou numérique Auteurs : Ayesha SIDDIQUA, Auteur ; Magdalena JANUS, Auteur ; Ronit MESTERMAN, Auteur ; Eric DUKU, Auteur ; Kathy GEORGIADES, Auteur ; Farah SAXENA, Auteur ; Haoyu ZHAO, Auteur ; Natasha R. SAUNDERS, Auteur Article en page(s) : p.2896-2910 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis/epidemiology Child Cohort Studies Family Humans Ontario/epidemiology Primary Health Care Autism spectrum disorder Developmental disabilities Diagnosis Early development instrument Kindergarten Paediatricians Primary care Index. décimale : PER Périodiques Résumé : In a cohort of kindergarten children in Ontario, Canada with Autism Spectrum Disorder (ASD) (n=1522), we tested the association of age at ASD diagnosis and characteristics of (1) the child's primary care provider and, (2) the child using health administrative databases. We tested the association of primary care practice model and time from developmental delay identification to age at ASD diagnosis. Older age of diagnosis was associated with provider foreign training (vs. domestic) (adjusted Hazard Ratio [aHR] 1.17, 95% CI 1.03, 1.33) but not sex, care model, and years of practice. After developmental delay identification, children with paediatricians had longer time to diagnosis than children with providers in care models (aHR 0.68, 95% CI 0.54, 0.86). Findings can be used to inform primary care provider ASD training. En ligne : http://dx.doi.org/10.1007/s10803-021-05165-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477
in Journal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.2896-2910[article] Primary Care Provider and Child Characteristics Associated with Age of Diagnosis of Autism Spectrum Disorder: A Population-Based Cohort Study [Texte imprimé et/ou numérique] / Ayesha SIDDIQUA, Auteur ; Magdalena JANUS, Auteur ; Ronit MESTERMAN, Auteur ; Eric DUKU, Auteur ; Kathy GEORGIADES, Auteur ; Farah SAXENA, Auteur ; Haoyu ZHAO, Auteur ; Natasha R. SAUNDERS, Auteur . - p.2896-2910.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.2896-2910
Mots-clés : Autism Spectrum Disorder/diagnosis/epidemiology Child Cohort Studies Family Humans Ontario/epidemiology Primary Health Care Autism spectrum disorder Developmental disabilities Diagnosis Early development instrument Kindergarten Paediatricians Primary care Index. décimale : PER Périodiques Résumé : In a cohort of kindergarten children in Ontario, Canada with Autism Spectrum Disorder (ASD) (n=1522), we tested the association of age at ASD diagnosis and characteristics of (1) the child's primary care provider and, (2) the child using health administrative databases. We tested the association of primary care practice model and time from developmental delay identification to age at ASD diagnosis. Older age of diagnosis was associated with provider foreign training (vs. domestic) (adjusted Hazard Ratio [aHR] 1.17, 95% CI 1.03, 1.33) but not sex, care model, and years of practice. After developmental delay identification, children with paediatricians had longer time to diagnosis than children with providers in care models (aHR 0.68, 95% CI 0.54, 0.86). Findings can be used to inform primary care provider ASD training. En ligne : http://dx.doi.org/10.1007/s10803-021-05165-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477 Enhancing developmental-behavioral pediatric rotations by teaching residents how to evaluate autism in primary care / Jeffrey F. HINE in Autism, 25-5 (July 2021)
[article]
Titre : Enhancing developmental-behavioral pediatric rotations by teaching residents how to evaluate autism in primary care Type de document : Texte imprimé et/ou numérique Auteurs : Jeffrey F. HINE, Auteur ; Liliana WAGNER, Auteur ; Rachel GOODE, Auteur ; Verity RODRIGUES, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Amy WEITLAUF, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.1492-1496 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Curriculum Humans Internship and Residency Primary Health Care Surveys and Questionnaires autism spectrum disorder primary care resident training interest with respect to research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : Most physician preparation programs do not provide enough practical experiences in autism-related care. This is especially true for how to assess for and diagnose autism. Without this training, many pediatricians are not well prepared to implement appropriate care for children with autism and their families. We designed a curriculum to improve training for medical residents that involved explicit hands-on training in diagnostic identification and care coordination for toddlers at risk for autism. We collected data to assess whether our enhanced curriculum led to increased comfort level across recommended practice behaviors. Almost all the residents were able to complete the training within their rotation and our surveys indicated significant increases in residents feeling more comfortable identifying symptoms of autism, providing feedback about diagnostic decisions, and effectively connecting families with services. A significant majority of residents considered it appropriate or very appropriate for children to receive a diagnosis solely from a primary care provider. Our results suggest feasibility of the enhanced model, and this project reflects the first step in advancing incorporation of autism training into pediatric residency programs. En ligne : http://dx.doi.org/10.1177/1362361320984313 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475
in Autism > 25-5 (July 2021) . - p.1492-1496[article] Enhancing developmental-behavioral pediatric rotations by teaching residents how to evaluate autism in primary care [Texte imprimé et/ou numérique] / Jeffrey F. HINE, Auteur ; Liliana WAGNER, Auteur ; Rachel GOODE, Auteur ; Verity RODRIGUES, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Amy WEITLAUF, Auteur ; Zachary WARREN, Auteur . - p.1492-1496.
Langues : Anglais (eng)
in Autism > 25-5 (July 2021) . - p.1492-1496
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Curriculum Humans Internship and Residency Primary Health Care Surveys and Questionnaires autism spectrum disorder primary care resident training interest with respect to research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : Most physician preparation programs do not provide enough practical experiences in autism-related care. This is especially true for how to assess for and diagnose autism. Without this training, many pediatricians are not well prepared to implement appropriate care for children with autism and their families. We designed a curriculum to improve training for medical residents that involved explicit hands-on training in diagnostic identification and care coordination for toddlers at risk for autism. We collected data to assess whether our enhanced curriculum led to increased comfort level across recommended practice behaviors. Almost all the residents were able to complete the training within their rotation and our surveys indicated significant increases in residents feeling more comfortable identifying symptoms of autism, providing feedback about diagnostic decisions, and effectively connecting families with services. A significant majority of residents considered it appropriate or very appropriate for children to receive a diagnosis solely from a primary care provider. Our results suggest feasibility of the enhanced model, and this project reflects the first step in advancing incorporation of autism training into pediatric residency programs. En ligne : http://dx.doi.org/10.1177/1362361320984313 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 Enhancing developmental-behavioral pediatric rotations by teaching residents how to evaluate autism in primary care / Jeffrey F. HINE in Autism, 26-5 (July 2022)
[article]
Titre : Enhancing developmental-behavioral pediatric rotations by teaching residents how to evaluate autism in primary care Type de document : Texte imprimé et/ou numérique Auteurs : Jeffrey F. HINE, Auteur ; Liliana WAGNER, Auteur ; Rachel GOODE, Auteur ; Verity RODRIGUES, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Amy WEITLAUF, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.1492-1496 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Curriculum Humans Internship and Residency Primary Health Care Surveys and Questionnaires autism spectrum disorder primary care resident training interest with respect to research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : Most physician preparation programs do not provide enough practical experiences in autism-related care. This is especially true for how to assess for and diagnose autism. Without this training, many pediatricians are not well prepared to implement appropriate care for children with autism and their families. We designed a curriculum to improve training for medical residents that involved explicit hands-on training in diagnostic identification and care coordination for toddlers at risk for autism. We collected data to assess whether our enhanced curriculum led to increased comfort level across recommended practice behaviors. Almost all the residents were able to complete the training within their rotation and our surveys indicated significant increases in residents feeling more comfortable identifying symptoms of autism, providing feedback about diagnostic decisions, and effectively connecting families with services. A significant majority of residents considered it appropriate or very appropriate for children to receive a diagnosis solely from a primary care provider. Our results suggest feasibility of the enhanced model, and this project reflects the first step in advancing incorporation of autism training into pediatric residency programs. En ligne : http://dx.doi.org/10.1177/1362361320984313 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484
in Autism > 26-5 (July 2022) . - p.1492-1496[article] Enhancing developmental-behavioral pediatric rotations by teaching residents how to evaluate autism in primary care [Texte imprimé et/ou numérique] / Jeffrey F. HINE, Auteur ; Liliana WAGNER, Auteur ; Rachel GOODE, Auteur ; Verity RODRIGUES, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Amy WEITLAUF, Auteur ; Zachary WARREN, Auteur . - p.1492-1496.
Langues : Anglais (eng)
in Autism > 26-5 (July 2022) . - p.1492-1496
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Curriculum Humans Internship and Residency Primary Health Care Surveys and Questionnaires autism spectrum disorder primary care resident training interest with respect to research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : Most physician preparation programs do not provide enough practical experiences in autism-related care. This is especially true for how to assess for and diagnose autism. Without this training, many pediatricians are not well prepared to implement appropriate care for children with autism and their families. We designed a curriculum to improve training for medical residents that involved explicit hands-on training in diagnostic identification and care coordination for toddlers at risk for autism. We collected data to assess whether our enhanced curriculum led to increased comfort level across recommended practice behaviors. Almost all the residents were able to complete the training within their rotation and our surveys indicated significant increases in residents feeling more comfortable identifying symptoms of autism, providing feedback about diagnostic decisions, and effectively connecting families with services. A significant majority of residents considered it appropriate or very appropriate for children to receive a diagnosis solely from a primary care provider. Our results suggest feasibility of the enhanced model, and this project reflects the first step in advancing incorporation of autism training into pediatric residency programs. En ligne : http://dx.doi.org/10.1177/1362361320984313 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484 General practice encounters for young patients with autism spectrum disorder in Australia / K. R. FOLEY in Autism, 22-7 (October 2018)
[article]
Titre : General practice encounters for young patients with autism spectrum disorder in Australia Type de document : Texte imprimé et/ou numérique Auteurs : K. R. FOLEY, Auteur ; A. J. POLLACK, Auteur ; H. C. BRITT, Auteur ; N. G. LENNOX, Auteur ; J. 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
in Autism > 22-7 (October 2018) . - p.784-793[article] General practice encounters for young patients with autism spectrum disorder in Australia [Texte imprimé et/ou numérique] / K. R. FOLEY, Auteur ; A. J. POLLACK, Auteur ; H. C. BRITT, Auteur ; N. G. LENNOX, Auteur ; J. 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 Reliability and validity of the Polish version of Communication and Symbolic Behaviour Scales-Developmental Profile - Infant-Toddler Checklist / Sylwia WRONA ; Maria FLAKUS ; Kamila PIERCHA?A ; Aleksandra SOBIESKA ; Katarzyna PODGÓRSKA ; Anna WO?OWICZ ; Ma?gorzata SEKU?OWICZ ; Maria Magdalena BUJNOWSKA-FEDAK in Research in Autism Spectrum Disorders, 117 (September 2024)
Permalink