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对医疗之家模式进行系统评价,以促进患有自闭症谱系障碍的青少年向成人初级保健过渡。

Systematic review of medical home models to promote transitions to primary adult health care for adolescents living with autism spectrum disorder.

作者信息

Rogers Kathleen, Zeni Mary Beth

机构信息

Assistant Professor,  Department of Nursing, Ursuline College, Pepper Pike, OH, USA.

出版信息

Worldviews Evid Based Nurs. 2015 Apr;12(2):98-107. doi: 10.1111/wvn.12085. Epub 2015 Mar 14.

Abstract

BACKGROUND

There is a growing number of children diagnosed and living with autism spectrum disorders (ASDs) in the United States. This increasing incidence and prevalence of ASDs require care coordination within a medical home model, which needs to continue into adulthood.

AIM

This paper is an evidence review of medical home models for transitioning adolescents living with ASDs from pediatric primary healthcare practices to adult primary care practices.

METHOD

Databases were reviewed and articles selected based on inclusion and exclusion criteria.

RESULTS

Nine articles were reviewed and four met criteria. None of the articles addressed medical home models to transition adolescents living with ASDs into adult primary healthcare services.

LINKING EVIDENCE TO ACTION

There is a need for nursing to work within an interdisciplinary framework to educate adult healthcare providers on the needs of adolescents living with ASDs and to evaluate medical home transition models for this vulnerable population.

摘要

背景

在美国,被诊断患有自闭症谱系障碍(ASD)并与之共存的儿童数量日益增加。ASD发病率和患病率的上升要求在医疗家庭模式下进行护理协调,这种模式需要持续到成年期。

目的

本文是对医疗家庭模式的证据综述,该模式旨在帮助患有ASD的青少年从儿科初级医疗实践过渡到成人初级医疗实践。

方法

根据纳入和排除标准对数据库进行检索并筛选文章。

结果

共检索到9篇文章,其中4篇符合标准。没有一篇文章涉及将患有ASD的青少年过渡到成人初级医疗服务的医疗家庭模式。

将证据与行动联系起来

护理人员需要在跨学科框架内开展工作,向成人医疗服务提供者宣传患有ASD的青少年的需求,并评估针对这一弱势群体的医疗家庭过渡模式。

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