Kairys Steven W, Petrova Anna
Jersey Shore University Medical Center, Neptune City, NJ, USA.
Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Glob Pediatr Health. 2016 Aug 22;3:2333794X16663544. doi: 10.1177/2333794X16663544. eCollection 2016.
Primary care of children with autism spectrum disorders (ASD) is an important public health concerns. In this survey study of 73 pediatricians, we determined whether pediatricians' practice of autism screening and perception of management of ASD is associated with participation in a learning collaborative, "Activated Autism Practice". Overall, the majority recognized the lack of care coordination, inadequate time, poor reimbursement, and language difference as barriers to the delivery of medical care to children with ASD. Pediatricians with prior training were more likely to report use of autism-specific screening and understanding the different aspects of ASD management including the need to coordinate special services and long-term surveillance at pediatric sites. Therefore, participation in "Activated Autism Practice" may facilitate use of ASD-specific screening and manage ASD cases as a complex of neurodevelopmental/underlying problems with the need for enhancement of clinical attention and coordination of medical care at the pediatric primary care level.
自闭症谱系障碍（ASD）儿童的初级保健是一个重要的公共卫生问题。在这项针对73名儿科医生的调查研究中，我们确定了儿科医生的自闭症筛查实践以及对ASD管理的认知是否与参与一个学习协作项目“激活自闭症实践”有关。总体而言，大多数人认为缺乏护理协调、时间不足、报销不佳以及语言差异是为ASD儿童提供医疗服务的障碍。接受过先前培训的儿科医生更有可能报告使用自闭症特异性筛查，并了解ASD管理的不同方面，包括在儿科场所协调特殊服务和长期监测的必要性。因此，参与“激活自闭症实践”可能有助于使用ASD特异性筛查，并将ASD病例作为神经发育/潜在问题的复合体进行管理，需要在儿科初级保健层面加强临床关注和医疗护理协调。
