<p>We examined barriers and facilitators to expanding primary care’s capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs’ ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.</p>
%0 Journal Article
%1 2797
%A Van Cleave, Jeanne
%A Holifield, Chloe
%A Neumeyer, Ann M
%A Perrin, James M
%A Powers, Erin
%A Van, Linda
%A Kuhlthau, Karen A
%D 2018
%J J Autism Dev Disord
%K Attention Autism Care, Child, Deficit Delivery Disorder Disorder, Female, Health Humans, Hyperactivity, Improvement, Male, Parents, Personnel, Primary Qualitative Quality Research, Specialization Spectrum airp, of with
%P 4222-4230
%R 10.1007/s10803-018-3630-x
%T Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder.
%V 48
%X <p>We examined barriers and facilitators to expanding primary care’s capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs’ ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.</p>
@article{2797,
abstract = {<p>We examined barriers and facilitators to expanding primary care{\textquoteright}s capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs{\textquoteright} ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.</p>},
added-at = {2021-02-17T03:07:48.000+0100},
author = {Van Cleave, Jeanne and Holifield, Chloe and Neumeyer, Ann M and Perrin, James M and Powers, Erin and Van, Linda and Kuhlthau, Karen A},
biburl = {https://www.bibsonomy.org/bibtex/299bd80ef7ed8b11fc184271f2e3cd553/acn},
doi = {10.1007/s10803-018-3630-x},
interhash = {1f8037fd1baea3cba82a437964d84eeb},
intrahash = {99bd80ef7ed8b11fc184271f2e3cd553},
issn = {1573-3432},
journal = {J Autism Dev Disord},
keywords = {Attention Autism Care, Child, Deficit Delivery Disorder Disorder, Female, Health Humans, Hyperactivity, Improvement, Male, Parents, Personnel, Primary Qualitative Quality Research, Specialization Spectrum airp, of with},
month = {2018 Dec},
pages = {4222-4230},
timestamp = {2021-02-17T03:08:36.000+0100},
title = {Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder.},
volume = 48,
year = 2018
}