A preliminary study of care coordination services within a specialized outpatient setting for youth with autism spectrum disorder

被引:3
作者
Singh, Vini [1 ]
Pinkett-Davis, Melanie [1 ]
Kalb, Luther G. [1 ,2 ]
Azad, Gazi [1 ,2 ]
Neely, Jason [1 ]
Landa, Rebecca [3 ]
机构
[1] Kennedy Krieger Inst, 3901 Greenspring Ave, Baltimore, MD 21211 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
[3] Johns Hopkins Sch Med, Baltimore, MD USA
关键词
Patient-centered care; autism spectrum disorder; tertiary healthcare; FAMILY-CENTERED CARE; MEDICAL HOME; NATIONAL-SURVEY; CHILDREN; HEALTH; NEEDS; DIAGNOSIS; EXPERIENCES; MANAGEMENT; IMPACT;
D O I
10.1177/2053434519893659
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Introduction Parents of children with autism spectrum disorder often experience high levels of stress and challenges when organizing medical and behavioral services for their child. Care coordination could alleviate these challenges, however little is known about the effectiveness of this service. This study examined the need, feasibility, and acceptability of a care coordination program. Methods Families of 176 children with autism, seen at a multidisciplinary autism clinic in the United States, participated in a prospective observational study. Families received a three-month structured care coordination program and completed pre- and post-program questionnaires that probed parents' beliefs about the need and acceptability of the program through structured and open-ended questions. Results Most (>= 90%) parents reported both a need for care coordination and satisfaction with the program. Qualitative themes identified valuable aspects and ways to improve the program. Discussion Parents raising a child with autism spectrum disorder experience an unmet need for care coordination. When provided, parents' demonstrated high uptake of service and high levels of satisfaction with the program.
引用
收藏
页码:109 / 116
页数:8
相关论文
共 34 条
[1]  
[Anonymous], 2013, NATL SURVEY CHILDREN
[2]   Care coordination for children and youth with special health care needs: A descriptive, multisite study of activities, personnel costs, and outcomes [J].
Antonelli, Richard C. ;
Stille, Christopher J. ;
Antonelli, Donna M. .
PEDIATRICS, 2008, 122 (01) :E209-E216
[3]   Comparison of indicators for a primary care medical home between children with autism or asthma and other special health care needs - National survey of children's health [J].
Brachlow, Allison E. ;
Ness, Kirsten K. ;
McPheeters, Melissa L. ;
Gurney, James G. .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2007, 161 (04) :399-405
[4]   The Medical Home for Children with Autism Spectrum Disorders: Parent and Pediatrician Perspectives [J].
Carbone, Paul S. ;
Behl, Diane D. ;
Azor, Virgina ;
Murphy, Nancy A. .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2010, 40 (03) :317-324
[5]   "You think it's hard now ... It gets much harder for our children": Youth with autism and their caregiver's perspectives of health care transition services [J].
Cheak-Zamora, Nancy C. ;
Teti, Michelle .
AUTISM, 2015, 19 (08) :992-1001
[6]   The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders [J].
Cheak-Zamora, Nancy C. ;
Farmer, Janet E. .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2015, 45 (03) :636-644
[7]   Implications of Childhood Autism for Parental Employment and Earnings [J].
Cidav, Zuleyha ;
Marcus, Steven C. ;
Mandell, David S. .
PEDIATRICS, 2012, 129 (04) :617-623
[8]   Experiences of autism diagnosis: A survey of over 1000 parents in the United Kingdom [J].
Crane, Laura ;
Chester, James W. ;
Goddard, Lorna ;
Henry, Lucy A. ;
Hill, Elisabeth L. .
AUTISM, 2016, 20 (02) :153-162
[9]   A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan [J].
Croen, Lisa A. ;
Najjar, Daniel V. ;
Ray, G. Thomas ;
Lotspeich, Linda ;
Bernal, Pilar .
PEDIATRICS, 2006, 118 (04) :E1203-E1211
[10]   Integrating Autism Care through a School-Based Intervention Model: A Pilot Study [J].
Dang, Katherine ;
Bent, Stephen ;
Lawton, Brittany ;
Warren, Tracy ;
Widjaja, Felicia ;
McDonald, Michael G. ;
Breard, Michael ;
O'Keefe, Whitney ;
Hendren, Robert L. .
JOURNAL OF CLINICAL MEDICINE, 2017, 6 (10)