The relationship between waiting times and "adherence' to the Scottish Intercollegiate Guidelines Network 98 guideline in autism spectrum disorder diagnostic services in Scotland
The relationship between waiting times and "adherence' to the Scottish Intercollegiate Guidelines Network 98 guideline in autism spectrum disorder diagnostic services in Scotland
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DOI：
10.1177/1362361315586136
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发表时间：
2016-05-01
期刊：
影响因子：
5.2
通讯作者：
Irvine, Linda
中科院分区：
文献类型：
--
作者：
McKenzie, Karen;Forsyth, Kirsty;Irvine, Linda
本研究的目的是探索苏格兰校际指导网络98关于自闭症谱系障碍评估和诊断的指导方针在苏格兰儿童自闭症谱系障碍诊断服务中的遵守程度，以及是否在常规实践（更紧密地反映这些建议）和增加等待时间之间存在显著关系。回顾性、横断面病例记录分析应用于80例病例记录的数据。依从性从0（无依从性）到19（完全依从性）不等。总体而言，80例中有50例以上的患者遵守了17/22的建议，70例或更多的患者遵守了11/22的建议，平均遵守评分为16分（标准差=1.9）。未转化数据（r=0.15, p=0.32）或转化数据（r=0.12, p=0.20）的依从性与总等待时间之间无显著相关。结果表明，评估和诊断实践与相关的苏格兰校际指南网络98指南建议一致。对19条建议的依从性增加与总等待时间的增加没有显着关系，这表明苏格兰校际指南网络98条建议一般已被纳入实践，没有导致患者等待时间的增加。
The aim of this study was to explore the extent to which the Scottish Intercollegiate Guidelines Network 98 guidelines on the assessment and diagnosis of autism spectrum disorder were adhered to in child autism spectrum disorder diagnostic services in Scotland and whether there was a significant relationship between routine practice which more closely reflected these recommendations (increased adherence) and increased waiting times. Retrospective, cross-sectional case note analysis was applied to data from 80 case notes. Adherence ranged from a possible 0 (no adherence) to 19 (full adherence). Overall, 17/22 of the recommendations were adhered to in over 50 of the 80 cases and in 70 or more cases for 11/22 of the recommendations, with a mean adherence score of 16 (standard deviation=1.9). No significant correlation was found between adherence and total wait time for untransformed (r=0.15, p=0.32) or transformed data (r=0.12, p=0.20). The results indicated that the assessment and diagnostic practices were consistent with the relevant Scottish Intercollegiate Guidelines Network 98 guideline recommendations. Increased adherence to the 19 included recommendations was not significantly related to increased total waiting times, indicating that the Scottish Intercollegiate Guidelines Network 98 recommendations have generally been integrated into practice, without a resultant increase in patient waits.