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在波兰初级卫生保健环境中实施自闭症谱系障碍早期检测计划——在线自闭症谱系障碍筛查的可能障碍与经验

Implementing an Early Detection Program for Autism Spectrum Disorders in the Polish Primary Healthcare Setting-Possible Obstacles and Experiences from Online ASD Screening.

作者信息

Sobieski Mateusz, Grata-Borkowska Urszula, Bujnowska-Fedak Maria Magdalena

机构信息

Department of Family Medicine, Wroclaw Medical University, Syrokomli 1, 51-141 Wroclaw, Poland.

出版信息

Brain Sci. 2024 Apr 16;14(4):388. doi: 10.3390/brainsci14040388.

Abstract

A screening questionnaire for autism symptoms is not yet available in Poland, and there are no recommendations regarding screening for developmental disorders in Polish primary healthcare. The aim of this study was to assess the opinions of parents and physicians on the legitimacy and necessity of screening for autism spectrum disorders, potential barriers to the implementation of the screening program, and the evaluation and presentation of the process of online ASD screening, which was part of the validation program for the Polish version of one of the screening tools. This study involved 418 parents whose children were screened online and 95 primary care physicians who expressed their opinions in prepared surveys. The results indicate that both parents and doctors perceive the need to screen children for ASD in the general population without a clear preference as to the screening method (online or in person). Moreover, online screening is considered by respondents as a satisfactory diagnostic method. Therefore, online screening may prove to be at least a partial method of solving numerous obstacles indicated by participants' systemic difficulties including time constraints, the lack of experienced specialists in the field of developmental disorders and organizational difficulties of healthcare systems.

摘要

波兰目前尚无针对自闭症症状的筛查问卷,且在波兰初级医疗保健领域也没有关于发育障碍筛查的相关建议。本研究旨在评估家长和医生对于自闭症谱系障碍筛查的合理性与必要性、筛查项目实施的潜在障碍,以及在线自闭症谱系障碍筛查过程的评估与呈现的看法,该在线筛查是波兰版筛查工具之一验证项目的一部分。本研究涉及418名让孩子接受在线筛查的家长,以及95名在预先准备好的调查问卷中表达意见的初级保健医生。结果表明,家长和医生都认为有必要对普通人群中的儿童进行自闭症谱系障碍筛查,且对于筛查方式(在线或面对面)没有明显偏好。此外,受访者认为在线筛查是一种令人满意的诊断方法。因此,在线筛查可能至少是解决参与者提出的众多系统性困难所指出的障碍的部分方法,这些困难包括时间限制、发育障碍领域缺乏经验丰富的专家以及医疗保健系统的组织困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30b6/11047999/489647bdb6d6/brainsci-14-00388-g001.jpg

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