title: Reducing Barriers to Care in the Office-Based Health Care Setting for Children With Autism.
abstract: The purpose of this survey-design research study was to evaluate the usefulness of a researcher-developed tool designed to improve office-based health care services and to assess the barriers and resources affecting office-based health care services for children with autism spectrum disorder. Fifty-four health care providers (HCPs) and 59 parents participated in the study. HCPs reported child behaviors, communication, and fears as barriers to providing care, whereas parents reported child behavior, sensory issues, and feelings of a disconnect with the HCP as barriers. HCPs identified the parent as a key resource. Parent-identified resources included provider adaptations to the patient, including slowing down the delivery of care and environmental adaptations to the office. In addition, both HCPs and parents indicated that the researcher-developed tool would be useful in reducing barriers during the HCE. Reducing barriers and improving health care interactions during delivery of care for children with autism spectrum disorder has the potential to improve health outcomes.
authors.forename: Margaret W
authors.initials: MW
authors.lastname: Bultas
authors.forename: Stephen Edward
authors.initials: SE
authors.lastname: McMillin
authors.forename: Debra H
authors.initials: DH
authors.lastname: Zand
mesh_terms: D001321:Autistic Disorder / Q000628:therapy*; D002648:Child; D006297:Health Services Accessibility; D006801:Humans; D009819:Office Visits; D010290:Parents / Q000523:psychology; D017060:Patient Satisfaction; D011320:Primary Health Care
keywords: Autism spectrum disorder; barriers; health care delivery; primary care; resources