title: Parent views on enhancing the quality of health care for their children with fragile X syndrome, autism or Down syndrome.
abstract: BACKGROUND
  International research in recent years has begun to focus on the medical problems of individuals with intellectual disabilities and on family stress in accessing health services for persons with developmental disabilities. Less is known about the needs of individuals in different diagnostic groups, or about their experiences of systems of care. Therefore, we report the results of focus groups with parents of children or adults with fragile X syndrome, autism or Down syndrome.
  
  
  METHODS
  Semi-structured group interviews with parents of children, youth or adults from each of three diagnostic groups probed perceptions of challenges and successes in obtaining and negotiating healthcare services in Ontario, Canada.
  
  
  RESULTS
  Parents described diverse barriers to care, the need for advocacy in securing services, perceptions of service delivery and the role of healthcare professionals in regulating access to a wide range of services. Diagnostic services represented one area of central concern to parents from all three groups.
  
  
  CONCLUSIONS
  Focus group data yielded a wide range of concerns. Suggestions for enhancing the system included expanding syndrome-specific education for medical students and health professionals and creating a centre that could offer service-related information for parents.
authors.affiliation: Department of Psychology, Queen's University, ON, Canada. patricia.minnes@queensu.ca
authors.forename: P
authors.initials: P
authors.lastname: Minnes
authors.forename: K
authors.initials: K
authors.lastname: Steiner
mesh_terms: D000293:Adolescent; D001321:Autistic Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D004314:Down Syndrome / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005260:Female; D017144:Focus Groups; D005600:Fragile X Syndrome / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D020380:Needs Assessment / Q000458:organization & administration*; D009864:Ontario; D010290:Parents / Q000523:psychology*; D011787:Quality of Health Care; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult