Abstract:
CONTEXT:Research reveals racial, ethnic, and socioeconomic disparities in autism diagnosis; there is limited information on potential disparities related to other dimensions of services. OBJECTIVE:We reviewed evidence related to disparities in service use, intervention effectiveness, and quality of care provided to children with autism by race, ethnicity, and/or socioeconomic status. DATA SOURCES:Medline, PsychInfo, Educational Resources Informational Clearinghouse, and the Cumulative Index to Nursing and Allied Health Literature were searched by using a combination of Medical Subject Headings terms and keywords related to autism, disparities, treatment, and services. STUDY SELECTION:Included studies addressed at least one key question and met eligibility criteria. DATA EXTRACTION:Two authors reviewed the titles and abstracts of articles and reviewed the full text of potentially relevant articles. Authors extracted information from articles that were deemed appropriate. RESULTS:Treatment disparities exist for access to care, referral frequency, number of service hours, and proportion of unmet service needs. Evidence revealed that racial and ethnic minority groups and children from low-income families have less access to acute care, specialized services, educational services, and community services compared with higher-income and white families. We found no studies in which differences in intervention effectiveness were examined. Several studies revealed disparities such that African American and Hispanic families and those from low-income households reported lower quality of care. LIMITATIONS:The body of literature on this topic is small; hence it served as a limitation to this review. CONCLUSIONS:The documented disparities in access and quality of care may further identify groups in need of outreach, care coordination, and/or other interventions.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Smith KA,Gehricke JG,Iadarola S,Wolfe A,Kuhlthau KAdoi
10.1542/peds.2019-1895Gsubject
Has Abstractpub_date
2020-04-01 00:00:00pages
S35-S46issue
Suppl 1eissn
0031-4005issn
1098-4275pii
peds.2019-1895Gjournal_volume
145pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:BACKGROUND AND OBJECTIVE:Several studies have shown the benefits of delayed cord clamping (DCC) in preterm and in healthy newborns at short and long term. Our objective was to evaluate the potentials benefits and risks of DCC in red cell alloimmunization. METHODS:This was a comparative before/after study of all living...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-3236
更新日期:2016-03-01 00:00:00
abstract::Servocontrol of skin temperature for the critically ill premature neonate nursed on a radiant warmer bed has been assumed to be analogous to skin temperature control for infants nursed in convection-warmed incubators. There are significant differences between these two warming techniques, and no definitive data exist ...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1987-01-01 00:00:00
abstract::Medicaid is a vital safety net for children that must be maintained. It is the largest single insurer of children, yet millions of children who are eligible remain unenrolled. Every effort should be made to implement expanded eligibility and streamlined enrollment procedures. Early and Periodic Screening, Diagnosis, a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0891
更新日期:2005-07-01 00:00:00
abstract::Two pediatric patients had reflex sympathetic dystrophy, which has been well described in adults but is rarely recognized in children. The syndrome consists of continuous pain, hyperesthesia, and autonomic symptoms occurring in an extremity, usually following trauma. The various types of presentation, differential dia...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1977-12-01 00:00:00
abstract:BACKGROUND/OBJECTIVE:The management of fever in young children is a controversial topic. This study seeks to compare the management approaches between general emergency medicine physicians (GEMPs) and pediatric emergency medicine physicians (PEMPs) and correlate them to existing practice guidelines. DESIGN/METHODS:All...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.2.354
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To study whether pretreatment of newborn lungs by captopril inhibits meconium-induced lung injury and inflammatory cytokine expression. DESIGN:Four groups of 2-week-old rabbit pups were used for the study: group 1, saline instilled rabbits; group 2, captopril-pretreated rabbits; group 3, meconium-instilled r...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0274
更新日期:2006-05-01 00:00:00
abstract::A term female firstborn infant had unexplained nonimmune fetal hydrops and recurrent left chylothorax at 4 weeks of age. A few months before conception, her mother had had acute dystrophic nail changes and is being treated for recurrent sinusitis, bronchiectasis, and a deficiency of serum IgG2. We suggest that they bo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract:OBJECTIVE:Health-e-Access, a telemedicine service providing care for acute illnesses in children, has delivered >6500 telemedicine visits from 10 primary care practices in Rochester, New York, by using telemedicine access at 22 child care and school sites. The goal was to assess the hypotheses that children served by H...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2698
更新日期:2009-06-01 00:00:00
abstract::Ultrasound has become a useful tool in the workup of pediatric patients because of the highly convenient, cost-effective, and safe nature of the examination. With rapid advancements in anatomic and functional ultrasound techniques over the recent years, the diagnostic and interventional utility of ultrasound has risen...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2018-2609
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Many newborn screening (NBS) programs now perform repeat or serial NBS to detect congenital hypothyroidism. There is wide variation in thyroid-stimulating hormone (TSH) cutoffs used by NBS programs. Data on TSH reference ranges in preterm infants at increasing postnatal age are limited. Our st...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-0290
更新日期:2019-08-01 00:00:00
abstract::Emergency departments (EDs) are a vital component in our health care safety net, available 24 hours a day, 7 days a week, for all who require care. There has been a steady increase in the volume and acuity of patient visits to EDs, now with well over 100 million Americans (30 million children) receiving emergency care...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-1287
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To describe the impact of a community bicycle helmet campaign on helmet use and the incidence of bicycle-related head injuries. SETTING:Metropolitan community and a large health maintenance organization. INTERVENTIONS:Communitywide bicycle helmet campaign. OUTCOMES:Rate of observed bicycle helmet use in th...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::The bioavailability and absorption pattern of theophylline from a slow-release theophylline sprinkle preparation were investigated in 12 asthmatic children both in fasting conditions and after a standardized meal. Theophylline given intravenously was used as a reference. Theophylline from the slow-release theophylline...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1984-10-01 00:00:00
abstract:OBJECTIVE:Antiretroviral (ARV) drugs are routinely provided to HIV-infected pregnant women to prevent HIV mother-to-child transmission. Although ARV use has significantly reduced mother-to-child transmission to <2% in the United States, it remains crucial to monitor uninfected infants and children for adverse consequen...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-1112
更新日期:2010-02-01 00:00:00
abstract::The cells of the mononuclear phagocyte system are critical elements in host defense. They are essential to many specific immune processes in addition to their well-recognized role in nonspecific resistance. In this report we describe studies of the influence of the maturation of this system of cells on the capacity of...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-11-01 00:00:00
abstract:OBJECTIVES:To characterize the composition of the pediatric subspecialty workforce in terms of the distribution of women and international medical graduates (IMGs) across pediatric medical subspecialties and to determine whether the proportions of board-certified pediatric subspecialists who are women or IMGs differ be...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2446
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To describe potential patient safety events for hospitalized children, examine associated factors, and explore impacts of safety events. METHODS:The newly released Patient Safety Indicators (PSIs), developed by researchers at the Agency for Healthcare Research and Quality to identify potential in-hospital pa...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.113.6.1741
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:Sensitization to perennial aeroallergens is associated with asthma in industrialized countries with a Western lifestyle. Because silk products are commonly used in Chinese society, we were interested in examining the relation between sensitization to silk and asthma. DESIGN:Cross-sectional study of 871 child...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.107.5.e80
更新日期:2001-05-01 00:00:00
abstract::Psychosocial problems of children have received increasing attention in the pediatric literature, but it remains unclear to what extent psychiatric services are available and used for the treatment of these problems. This paper examines the utilization of psychiatric services by children over an 18-year period in Monr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1982-11-01 00:00:00
abstract:OBJECTIVE:Although vision screening for preschool children is recommended for detecting amblyopia, many pediatric and family medicine practices do not screen preschool-aged children. The aim of this study was to determine the effect of a training program for primary care clinical staff on vision screening behavior and ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.112.1.e17
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To report the first case of human infection (infective endocarditis [IE]) caused by Pasteurella gallinarum and to review the literature regarding IE caused by the genus Pasteurella. SETTING:University hospital based. PATIENT:An adolescent boy who underwent successful correction for truncus arteriosus 10 yea...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 00:00:00
abstract:BACKGROUND:Prolonged mechanical ventilation is associated with lung injury in preterm infants. In these infants, weaning from synchronized intermittent mandatory ventilation may be delayed by their inability to cope with increased respiratory loads. The addition of pressure support to synchronized intermittent mandator...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2005-2923
更新日期:2006-10-01 00:00:00
abstract::In developed countries, care and treatment are available for pregnant women and infants that can decrease the rate of perinatal human immunodeficiency virus type 1 (HIV-1) infection to 2% or less. The pediatrician has a key role in prevention of mother-to-child transmission of HIV-1 by identifying HIV-exposed infants ...
journal_title:Pediatrics
pub_type: 指南,杂志文章,实务指引
doi:10.1542/peds.114.2.497
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:To perform hearing screenings on all newborns before hospital discharge, using auditory brainstem evoked responses with analysis of time, cost, and failure rates to evaluate and determine the screening practicality. METHOD:Over a 3-year period from January 1, 1993 to December 31, 1995, auditory brainstem evo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.6.e4
更新日期:1997-06-01 00:00:00
abstract::The bilirubin titration point--the lowest bilirubin concentration at which loosely bound bilirubin could be demonstrated by Sephadex gel filtration--was determined in samples collected before, during, and on completion of 17 exchange transfusions as well as in the discarded and donor blood. The bilirubin titration poi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1977-06-01 00:00:00
abstract:OBJECTIVE:To explore children's and parents' assessment of children's asthma. DESIGN:Prospective 2-month cohort study in which children and parents were reviewed at baseline and 1-month intervals. SETTING:Mid-sized, English-speaking, industrial community serving an urban and regional rural population. PATIENTS OR PA...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.2.165
更新日期:1997-02-01 00:00:00
abstract::A 34-day-old previously healthy boy born full term presented to the emergency department with fever at home (38.1°C), fussiness, and decreased oral intake for 1 day. He was difficult to console at home. He had decreased oral intake without emesis, diarrhea, or a change in urine output. He did not have rhinorrhea, coug...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-1406
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To 1) describe the characteristic features of fibromyalgia syndrome (FS) in a pediatric population, 2) note similarities and differences with FS in adults, and 3) determine outcome after treatment. SETTING AND DESIGN:The Pediatric Rheumatology Clinic at the University of Rochester Medical Center is staffed ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.3.377
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:In recent years there has been increasing emphasis on the mental health aspects of primary health care for children and adolescents. The Health Resources and Services Administration's Maternal and Child Health Bureau has contributed to efforts aimed at strengthening primary care not only in early identificat...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.4.e5
更新日期:1997-04-01 00:00:00
abstract::A group of 121 children with vesicoureteric reflux (VUR) grades 1 to 3 managed conservatively were followed-up for a period of six to ten years. In the majority of patients VUR grades 1 and 2 disappeared spontaneously. Prognosis was less favorable in those who were seen initially with grade 3 VUR. A statistically sign...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00