Cited by 176Autism Spectrum Disorder ResearchPrimary Care and Health OutcomesChild and Adolescent Health

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Medical Homes for Children With Autism: A Physician Survey

Golnik, Allison, Ireland, Marjorie, Borowsky, Iris Wagman·2009·Pediatrics

DOI 10.1542/peds.2008-1321

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Abstract

Background Primary care physicians can enhance the health and quality of life of children with autism by providing high-quality and comprehensive primary care. Objective To explore physicians' perspectives on primary care for children with autism. Methods National mail and e-mail surveys were sent to a random sample of 2325 general pediatricians and 775 family physicians from April 2007 to October 2007. Results The response rate was 19%. Physicians reported significantly lower overall self-perceived competency, a greater need for primary care improvement, and a greater desire for education for children with autism compared with both children with other neurodevelopmental conditions and those with chronic/complex medical conditions. The following barriers to providing primary care were endorsed as greater for children with autism: lack of care coordination, reimbursement and physician education, family skeptical of traditional medicine and vaccines, and patients using complementary alternative medicine. Adjusting for key demographic variables, predictors of both higher perceived autism competency and encouraging an empirically supported therapy, applied behavior analysis, included having a greater number of autism patient visits, having a friend or relative with autism, and previous training about autism. Conclusions Primary care physicians report a lack of self-perceived competency, a desire for education, and a need for improvement in primary care for children with autism. P…

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Authors: Golnik, A., Ireland, M., & Borowsky, I. W.
Affiliations: University of Minnesota (US)
Corresponding author: Golnik, Allison
ORCID: Borowsky, Iris Wagman
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2009-03-01
Volume: 123
Issue: 3
Pages: 966-971
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2008-1321
OpenAlex: W2110289498
Cited by: 176
References: 36
Citations by year: 2026: 1 · 2025: 4 · 2024: 10 · 2023: 6 · 2022: 4 · 2021: 14 · 2020: 23 · 2019: 8 · 2018: 8 · 2017: 12 · 2016: 19 · 2015: 14 · 2014: 12 · 2013: 9 · 2012: 12
FWCI: 5.00
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Public Health Service (D55HP04186-03)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
Keywords: autism spectrum disorder, primary care, patient-centered medical home, barriers to care, care coordination, physician training, complementary and alternative medicine, empirically supported treatments, applied behavior analysis, general pediatricians, general practitioners, neurodevelopmental disorders
MeSH terms: Adult, Complementary Therapies, Autistic Disorder, Child, Developmental Disabilities, Clinical Competence, Cooperative Behavior, Cross-Sectional Studies, Female, Health Services Accessibility, Health Services Needs and Demand, Health Surveys, Humans, Male, Middle Aged, Patient Care Team, Pediatrics, Primary Health Care, United States

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Medical Homes for Children With Autism: A Physician Survey

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