Ezeh Tobechukwu H, Lee Brian K, Rast Jessica E
Dornsife School of Public Health, Drexel University, Philadelphia, PA, 19104, USA.
A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, USA.
J Autism Dev Disord. 2023 Mar;53(3):1202-1212. doi: 10.1007/s10803-022-05596-x. Epub 2022 Jun 2.
This study assessed the relationship between the medical home and use of health services among children with autism spectrum disorder (ASD). Data from 2016 to 2018 National Survey of Children's Health was analyzed. Outcome measures were receipt of mental and non-mental specialty care, difficulty receiving needed mental and non-mental specialty care and unmet need for mental care. Having a medical home was associated with significantly lower odds of having unmet mental health need for children with ASD ages 11-17 (OR 0.14, 95% CI 0.07-0.30) but not for those ages 3-10 (OR 0.54, 95% CI 0.21-1.43). Having a medical home was also associated with lower odds of difficulty getting needed mental health care (OR 0.38, 95% CI 0.22-0.66) as well as non-mental specialty care (OR 0.24, 95% CI 0.13-0.44).
本研究评估了医疗之家与自闭症谱系障碍（ASD）儿童的医疗服务使用之间的关系。分析了2016年至2018年全国儿童健康调查的数据。结果指标包括接受精神科和非精神科专科护理、接受所需精神科和非精神科专科护理的困难程度以及未满足的精神护理需求。拥有医疗之家与11至17岁ASD儿童未满足心理健康需求的几率显著降低相关（比值比[OR]为0.14，95%置信区间[CI]为0.07 - 0.30），但与3至10岁儿童无关（OR为0.54，95% CI为0.21 - 1.43）。拥有医疗之家还与获得所需心理健康护理的困难几率较低相关（OR为0.38，95% CI为0.22 - 0.66）以及与获得非精神科专科护理的困难几率较低相关（OR为0.24，95% CI为0.13 - 0.44）。
