Autism-Specific Primary Care Medical Home Intervention

被引:47
|
作者
Golnik, Allison [1 ,2 ]
Scal, Peter [1 ,2 ]
Wey, Andrew [3 ]
Gaillard, Philippe [4 ]
机构
[1] Univ Minnesota, Dept Pediat, Div Gen Pediat, Minneapolis, MN 55414 USA
[2] Univ Minnesota, Dept Pediat, Fairview Hlth Syst, Minneapolis, MN 55414 USA
[3] Univ Minnesota, Sch Publ Hlth, Div Biostat, Minneapolis, MN 55414 USA
[4] Univ Minnesota, Clin & Transit Sci Inst, Minneapolis, MN 55414 USA
关键词
Autism; Medical home; Care coordination; Primary care; CHILDREN; OUTCOMES; QUALITY; PARENTS; IMPACT; LIFE;
D O I
10.1007/s10803-011-1351-5
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
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).
引用
收藏
页码:1087 / 1093
页数:7
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