Ames Jennifer L, Davignon Meghan N, Hayes Elizabeth A, Croen Lisa A
Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Drive, Building B, Pleasanton, CA 94588, USA.
Kaiser Permanente Roseville Medical Center, 1600 Eureka Road, Building C, Department of Pediatric Subspecialties, Roseville, CA 95661, USA.
Pediatr Clin North Am. 2024 Apr;71(2):111-125. doi: 10.1016/j.pcl.2024.01.002. Epub 2024 Feb 2.
Autism has been the subject of large-scale public health investment. These investments are increasingly shifting toward mitigating the lifelong disability and impairment associated with autism. Key efforts include bolstering screening schedules, accelerating the path to diagnosis and early entry into evidence-based therapies, and providing preventive management of common co-occurring conditions. Enhancing their implementation will necessitate addressing neurodiversity and health equity. Pediatric primary care teams continue to be important stewards in population-level initiatives to promote autistic health. To thrive in this role, these providers will benefit from specific educational and logistical supports from the health care system.
自闭症一直是大规模公共卫生投资的主题。这些投资正越来越多地转向减轻与自闭症相关的终身残疾和损伤。关键举措包括加强筛查计划、加快诊断进程并尽早开始循证治疗,以及对常见并发疾病进行预防性管理。加强这些举措的实施将需要解决神经多样性和健康公平问题。儿科初级保健团队在促进自闭症患者健康的人群层面举措中仍然是重要的管理者。为了在这一角色中取得成功,这些医疗服务提供者将受益于医疗保健系统提供的特定教育和后勤支持。