ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care.

IF 0.7 4区医学 Q3 PEDIATRICS Clinical Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-06-03 DOI:10.1177/00099228241255866

Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe

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Abstract

ECHO (Extensions for Community Healthcare Outcomes) Autism is a telementoring learning model to increase community capacity for autism-related health care. Seventy-seven pediatric providers (mostly primary care, seeing exclusively Medicaid patient populations) enrolled in 1 year of ECHO Autism Washington. Analysis of self-report surveys showed a significant increase in autism diagnoses made by ECHO providers after 1 year, F(1, 65) = 7.52, P = .008. Providers who attended more sessions reported making more diagnoses, F(2, 613.26), P = .045. Of note, autism diagnoses were not externally validated. The total number of reported barriers reduced, F(2, 61) = 13.5), P < .001, and confidence ratings increased F(2, 60) = 24.21, P < .001. The average number of diagnostic referrals from ECHO providers to the state's largest autism specialty clinic significantly reduced, t(43) = 4.23, P < .001, with significantly fewer diagnostic referrals made during and after ECHO training compared with a comparison group of 28 non-ECHO providers, t(58.77) = -3.36, P < .001. Overall, 1 year of ECHO Autism Washington participation led to significant changes in autism diagnostic practices.

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华盛顿 ECHO 自闭症中心：自闭症初级医疗诊断评估。

自闭症 ECHO（社区医疗保健成果扩展）是一种远程指导学习模式，旨在提高社区自闭症相关医疗保健的能力。77 名儿科医疗服务提供者（大部分是初级医疗服务提供者，只为医疗补助患者群体提供服务）参加了为期一年的华盛顿 ECHO 自闭症项目。对自我报告调查的分析表明，一年后，ECHO 医疗机构对自闭症的诊断率显著提高，F（1，65）= 7.52，P = .008。参加次数越多的医疗服务提供者做出的诊断越多，F（2，613.26），P = .045。值得注意的是，自闭症诊断未经外部验证。报告的障碍总数减少，F（2，61）= 13.5），P < .001，信心评级增加，F（2，60）= 24.21，P .001。ECHO 医疗服务提供者向该州最大的自闭症专科门诊转诊的平均次数显著减少，t(43) = 4.23，P < .001，与 28 名非 ECHO 医疗服务提供者组成的对比组相比，ECHO 培训期间和之后的诊断转诊次数显著减少，t(58.77) = -3.36，P < .001。总体而言，参加 ECHO 自闭症华盛顿一年后，自闭症诊断实践发生了显著变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.