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）。
