Achieving diagnostic resolution in young children with social communication concerns in a predominantly low-income population

Hong An T. Nguyen, Jessica Rosenberg, Caroline J. Kistin, Emily Feinberg, Sarabeth Broder-Fingert

Research output: Contribution to journalArticlepeer-review

Abstract

Children in low-income families are at risk for delayed diagnosis of autism spectrum disorder (ASD). The cascade-of-care model, which examines steps of care for quality and efficacy, can identify lesions in the process for evaluation and diagnosis for children at risk for ASD. Little is known about predictors that influence key steps in this process. We performed a retrospective chart review of 110 children under age five years from an academic medical center with social communication concerns. We assessed predictors of age of referral for ASD diagnostic evaluation, time to diagnosis, and likelihood of diagnostic completion. Children with continuity of primary care were referred at an earlier age than those receiving primary care at multiple centers. Compared with children with missed visits, children attending all well-child visits had a shorter median time to diagnosis. These findings illustrate a need for primary medical homes to facilitate early and timely ASD evaluations.

Original languageEnglish (US)
Pages (from-to)1359-1371
Number of pages13
JournalJournal of health care for the poor and underserved
Volume32
Issue number3
DOIs
StatePublished - Aug 2021

Keywords

  • Autism spectrum disorder
  • Children
  • Diagnostic resolution
  • Low income
  • Primary care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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