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