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为自闭症儿童提供公平的可持续医疗服务。

Equitable access to sustainable healthcare services for children with autism.

作者信息

Sultan Meshal A

机构信息

Assistant Professor of Psychiatry, College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab Emirates. Email:

出版信息

BJPsych Int. 2025 Feb;22(1):11-14. doi: 10.1192/bji.2024.33.

Abstract

This perspective article addresses the critical issue of equitable access to sustainable healthcare services for children with autism spectrum disorder (ASD). Despite the increasing prevalence of ASD globally, significant disparities persist in accessing appropriate healthcare services. The lack of comprehensive data on autism prevalence and incidence in many regions further exacerbates this challenge, hindering the development of targeted interventions and equitable resource allocation. This paper sheds light on barriers to equitable access, including geographical disparities, cultural stigma, communication barriers and inadequate training of healthcare providers. Strategies for achieving sustainable solutions are proposed, including the expansion of telehealth services, financial assistance programmes, competency training, community-based support programmes and investment in high-quality research. By addressing these challenges and implementing evidence-based interventions, we can work towards ensuring that all children with autism have access to the healthcare services they need for optimal development and well-being.

摘要

这篇观点文章探讨了为自闭症谱系障碍(ASD)儿童提供公平的可持续医疗服务这一关键问题。尽管全球自闭症谱系障碍的患病率不断上升,但在获得适当医疗服务方面仍存在显著差异。许多地区缺乏关于自闭症患病率和发病率的全面数据,这进一步加剧了这一挑战,阻碍了针对性干预措施的制定和公平的资源分配。本文揭示了公平获取医疗服务的障碍,包括地理差异、文化耻辱感、沟通障碍以及医疗服务提供者培训不足。文章还提出了实现可持续解决方案的策略,包括扩大远程医疗服务、财政援助计划、能力培训、基于社区的支持计划以及对高质量研究的投资。通过应对这些挑战并实施基于证据的干预措施,我们可以努力确保所有自闭症儿童都能获得他们实现最佳发育和福祉所需的医疗服务。

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Global prevalence of autism: A systematic review update.全球自闭症患病率:系统综述更新。
Autism Res. 2022 May;15(5):778-790. doi: 10.1002/aur.2696. Epub 2022 Mar 3.
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Caregiver Voices: Cross-Cultural Input on Improving Access to Autism Services.照顾者之声:改善自闭症服务获取途径的跨文化投入。
J Racial Ethn Health Disparities. 2019 Aug;6(4):752-773. doi: 10.1007/s40615-019-00575-y. Epub 2019 Mar 11.
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Health disparities and health equity: the issue is justice.健康差异和健康公平:问题在于公正。
Am J Public Health. 2011 Dec;101 Suppl 1(Suppl 1):S149-55. doi: 10.2105/AJPH.2010.300062. Epub 2011 May 6.

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