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Autism and Pediatric Practice: Toward a Medical Home

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Abstract

The pediatrician sees a child for 11 well child visits by their third birthday. The provision of continuous primary care supports development of trust with parents, provides opportunity for screening and surveillance of autism spectrum disorders (ASD), allows monitoring the progress of children requiring therapy, and a framework to support and educate families. Families of children with ASD are less likely to report that they receive care in a Medical Home, a practice providing coordinated, accessible, continuous, culturally competent care. They report less access to specialty and family focused care compared to other children with special health care needs. It is a major challenge to identify and effect the solutions necessary to bring Medical Home care to all children with ASD.

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Acknowledgments

Drs. Hyman and Johnson were supported in part by MCH LEND funding T73MC0029-16. Dr. Hyman received support from Autism Speaks/Autism Treatment Network and HRSA through cooperative agreement (UA3 MC 11054) from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Research Program, to the Massachusetts General Hospital.

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Correspondence to Susan L. Hyman.

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Hyman, S.L., Johnson, J.K. Autism and Pediatric Practice: Toward a Medical Home. J Autism Dev Disord 42, 1156–1164 (2012). https://doi.org/10.1007/s10803-012-1474-3

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