Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice

Autor/inn/en	Rutherford, Marion; Burns, Morag; Gray, Duncan; Bremner, Lynne; Clegg, Sarah; Russell, Lucy; Smith, Charlie; O'Hare, Anne
Titel	Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice
Quelle	In: Journal of Autism and Developmental Disorders, 48 (2018) 5, S.1579-1595 (17 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Rutherford, Marion)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-017-3415-7
Schlagwörter	Autism; Pervasive Developmental Disorders; Clinical Diagnosis; Efficiency; Access to Health Care; Statistical Significance; Children; Referral; Intervals; Scheduling; Females; Planning; Evidence Based Practice; Data Collection; Training Objectives; Health Services; Foreign Countries; Statistical Analysis; United Kingdom (Scotland) + Suchen Sie Ihr Suchwort? Autismus; Effectiveness; Effektivität; Wirkungsgrad; Child; Kind; Kinder; Disposition; Weibliches Geschlecht; Ablaufplanung; Planungsprozess; Data capture; Datensammlung; Training objectiv; Ausbildungsziel; Trainingsziel; Health service; Gesundheitsdienst; Gesundheitswesen; Ausland; Statistische Analyse
Abstract	The 'autism diagnosis crisis' and long waiting times for assessment are as yet unresolved, leading to undue stress and limiting access to effective support. There is therefore a significant need for evidence to support practitioners in the development of efficient services, delivering acceptable waiting times and effectively meeting guideline standards. This study reports statistically significant reductions in waiting times for autism diagnostic assessment following a children's health service improvement programme. The average wait between referral and first appointment reduced from 14.2 to 10.4 weeks (t(21) = 4.3, p < 0.05) and between referral and diagnosis shared, reduced from 270 to 122.5 days, (t(20) = 5.5, p < 0.05). The proportion of girls identified increased from 5.6 to 2.7:1. Methods reported include: local improvement action planning; evidence based pathways; systematic clinical data gathering and a training plan. This is a highly significant finding for many health services wrestling with the challenges of demand and capacity for autism diagnosis and assessment. (As Provided).
Anmerkungen	Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01