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自闭症特异性初级保健医疗之家干预。

Autism-specific primary care medical home intervention.

机构信息

Division of General Pediatrics and Fairview Health System, Department of Pediatrics, University of Minnesota, 717 Delaware Street SE, 3rd Floor West, Room 370E, Minneapolis, MN 55414, USA.

出版信息

J Autism Dev Disord. 2012 Jun;42(6):1087-93. doi: 10.1007/s10803-011-1351-5.

Abstract

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).

摘要

46 名受试者在自闭症特定医疗之家干预措施(www.autismmedicalhome.com)中接受了初级医疗护理,而 157 名对照者接受了标准初级医疗护理。受试者和对照者均被诊断为自闭症谱系障碍。34 名受试者(74%)和 62 名对照者(40%)完成了预调查和后调查。在控制预调查医疗之家状况后,与对照组相比,研究结束时接受医疗之家治疗的受试者的可能性增加了 2.5 倍(p = 0.021)。与对照组相比,接受干预的受试者报告了更高的满意度(p = 0.0004)、更多的共同决策(p = 0.0005)和更少的未满足需求(p = 0.067)。然而,受试者报告家庭压力没有变化(p = 0.204)。

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