Une revue systématique des obstacles et facilitateurs qui empêchent et permettent l'accès aux services de soins de santé physique pour les adultes autistes
Titre original en anglais : A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults
Mason, D., Ingham, B., Urbanowicz, A., Michael, C., Birtles, H., Woodbury‐Smith, M., Brown, T., James, I. A., Scarlett, C., Nicolaidis, C., & Parr, J. R. (2019). A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults. Journal of Autism and Developmental Disorders, 49(8), 3387-3400. https://doi.org/10.1007/s10803-019-04049-2
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Auteurs
Résumé
Les personnes autistes sont plus susceptibles : de recevoir un diagnostic pour un éventail d'affections de santé physique (c.-à-d. les maladies cardio-vasculaires) ; de connaître une mortalité prématurée (pour la plupart des catégories de maladies) ; et de rencontrer des obstacles à un accès efficace aux soins de santé. Cette revue systématique visait à identifier les études qui rendent compte des obstacles et des facilitateurs de l'accès aux soins de santé physique pour les personnes autistes. Au total, 3111 documents ont été examinés et six études ont été incluses : deux études quantitatives, deux études qualitatives et deux études à méthodologie mixte. La communication patient-prestataire, les sensibilités sensorielles et les difficultés de fonctionnement exécutif/de planification sont apparues comme d'importants obstacles aux soins de santé. Des recommandations destinées aux cliniciens et aux personnes planifiant les services sont examinées.
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