Autism-Specific Primary Care Medical Home Intervention

Abstract

Forty-six subjects received primary medical care within an autism-specific medical home intervention ( www.autismmedicalhome.com ) and 157 controls received standard primary medical care. Subjects and controls had autism spectrum disorder diagnoses. Thirty-four subjects (74%) and 62 controls (40%) completed pre and post surveys. Controlling for pre-survey medical home status, subjects had 250% greater odds of receipt of a medical home at the study end compared to controls (p = 0.021). Compared to controls, subjects receiving the intervention reported significantly more satisfaction (p = 0.0004), greater shared decision making (p = 0.0005) and fewer unmet needs (p = 0.067). However, subjects reported no change in family stress (p = 0.204).

Improving healthcare access for older adults with intellectual disability: What are the needs?

“…Regarding healthcare coordination among practitioners, over the last few years, a number of professionals in the field of autism spectrum disorder (ASD) have worked towards implementing the “medical home” model in the provision of medical care for children with ASD (Carbone, Behl, Azor, & Murphy, ; Golnik, Scal, Wey, & Gaillard, ). The aim of the medical home model is to provide ongoing medical supervision that is family‐centred, enabling coordination between different professionals and service providers (Murphy & Carbone, ).…”

Moving From Research to Practice in the Primary Care of Children With Autism Spectrum Disorders

“…120 Pilot projects to provide medical home services for children with ASD show promise in terms of reducing unmet medical needs, reducing health care utilization, and increasing family-centered care. 121,122 The cost of the EIBI (approximately $40,000 per year) and lack of insurance coverage for it makes access to behavioral therapy impossible for many families. Over the past 5 years there has been a significant increase in grassroots advocacy at the state level to pass legislation that mandates insurance coverage for EIBI and behavioral therapy for children with ASD.…”

Core Functions and Forms of Complex Health Interventions: a Patient-Centered Medical Home Illustration

“…[7][8][9][10] On the other hand, multiple large national PCMH evaluations 11 have shown mixed evidence of PCMH impacts on service access, quality, and cost. 8,[12][13][14][15][16][17][18][19] A meta-analysis of 11 PCMH studies, published between 2008 and 2014, showed that PCMH practices were significantly associated with a 1.5% reduction in specialty visits and an increase in cancer screenings (1.2% for cervical cancer and 1.4% for breast cancer). 12 Yet, these researchers also found a lack of association between PCMH and primary care, emergency department and inpatient visits, and several quality measures.…”