A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults

David Mason, Barry Ingham, Anna Urbanowicz, Cos Michael, Heather Birtles, Marc Woodbury-Smith, Toni Brown, Ian James, Clare Scarlett, Christina Nicolaidis, Jeremy R. Parr

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Autistic people are more likely to: be diagnosed with a range of physical health conditions (i.e. cardio-vascular disease); experience premature mortality (for most disease categories); and experience barriers to effectively accessing healthcare. This systematic review sought to identify studies that report on barriers and facilitators to physical healthcare access for autistic people. A total of 3111 records were screened and six studies were included: two quantitative, two qualitative, and two mixed-methodology studies. Patient-provider communication, sensory sensitivities, and executive functioning/planning issues emerged as important barriers to healthcare. Recommendations for clinicians and those planning services are discussed.

Original languageEnglish (US)
Pages (from-to)3387-3400
Number of pages14
JournalJournal of autism and developmental disorders
Volume49
Issue number8
DOIs
StatePublished - Aug 15 2019

Keywords

  • Adult
  • Autism
  • Barriers
  • Healthcare access
  • Physical health
  • Sensory sensitivities

ASJC Scopus subject areas

  • Developmental and Educational Psychology

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    Mason, D., Ingham, B., Urbanowicz, A., Michael, C., Birtles, H., Woodbury-Smith, M., Brown, T., James, I., 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