General practitioners' perspectives regarding early developmental surveillance for autism within the australian primary healthcare setting: a qualitative study.
Background: Significant challenges remain in the early identification of child developmental disabilities in the community. Implementing supports and services early in the life course has been shown to promote positive developmental outcomes for children at high likelihood of developmental disabilit...
| Publicado en: | BMC Primary Care Vol. 24; no. 1; pp. 1 - 16 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | critical path research tables/charts Journal Article |
| Publicado: |
BioMed Central
8/10/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=169871158&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 169871158 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27314553 MZZU jtl: BMC Primary Care issn: 27314553 maglogo: N pubinfo: dt: 8/10/2023 vid: 24 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 169871158 169871158 169871158 10.1186/s12875-023-02121-6 169871158 ppf: 1 ppct: 15 formats: tig: atl: General practitioners' perspectives regarding early developmental surveillance for autism within the australian primary healthcare setting: a qualitative study. aug: au: Barbaro, Josephine Winata, Teresa Gilbert, Melissa Nair, Radhika Khan, Feroza Lucien, Abbie Islam, Raisa Masi, Anne Diaz, Antonio Mendoza Dissanayake, Cheryl Karlov, Lisa Descallar, Joseph Eastwood, John Hasan, Iqbal Jalaludin, Bin Kohlhoff, Jane Liaw, Siaw-Teng Lingam, Raghu Ong, Natalie Tam, Chun Wah Michael affil: Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia sug: subj: Physicians, Family Physician Attitudes Autism Spectrum Disorder Primary Health Care Health Screening Developmental Disabilities Early Diagnosis Critical Path Human Qualitative Studies Funding Source Semi-Structured Interview Thematic Analysis Grounded Theory Consent Data Analysis Software Socioeconomic Factors ab: Background: Significant challenges remain in the early identification of child developmental disabilities in the community. Implementing supports and services early in the life course has been shown to promote positive developmental outcomes for children at high likelihood of developmental disabilities, including autism. As part of a cluster randomised controlled trial, this study seeks to examine and compare the perspectives and experiences of Australian general practitioners (GPs) in relation to a digital developmental surveillance program for autism and usual care pathway, in general practice clinics. Methods: A qualitative research methodology with semi-structured interviews and thematic inductive analysis underpinned by grounded theory was utilised. All GPs from South Western Sydney (NSW) and Melbourne (Victoria) who participated in the main program ("GP Surveillance for Autism") were invited to the interview. GPs who provided consent were interviewed either over online or in-person meeting. Interviews were audio-recorded, transcribed, and coded using NVivo12 software. Inductive interpretive approach was adopted and data were analysed thematically. Results: Twenty-three GPs across the two sites (NSW: n = 11; Victoria: n = 12) agreed to be interviewed; data saturation had reached following this number of participants. Inductive thematic coding and analysis yielded eight major themes and highlighted common enablers such as the role of GPs in early identification and subsequent supports, enhanced communication between clinicians/professionals, relationship-building with patients, and having standardised screening tools. Specific facilitators to the feasibility and acceptability of a digital screening program for the early identification of developmental disabilities, including the early signs of autism, and encouraging research and education for GPs. However, several practical and socioeconomic barriers were identified, in addition to limited knowledge and uptake of child developmental screening tools as well as COVID-19 lockdown impacts. Common and specific recommendations involve supporting GPs in developmental/paediatrics training, streamlined screening process, and funding and resources in the primary healthcare services. Conclusions: The study highlighted the need for practice and policy changes, including further training of GPs alongside sufficient time to complete developmental checks and appropriate financial remuneration through a Medicare billing item. Further research is needed on implementation and scale up of a national surveillance program for early identification of developmental disabilities, including autism. pubtype: Academic Journal doctype: critical path research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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