Autism spectrum disorders are diverse. Their characteristics can be detected both at the earliest age (after 12 months) and much later.
According to the World Health Organization, autism spectrum disorders are characterized by difficulties in social communication and interaction, atypical patterns of activities and behavior, behavioral difficulties in transitioning from one activity to another, focusing on details and unusual responses to sensations.
Autism accompanies the individual throughout his life. Misunderstanding during communication is a major barrier to identifying the need for the autistic patient to receive quality medical and health care.
Objective: To investigate the barriers and factors of access to quality medical and health care for patients with autism spectrum disorder.
Methods: Documentary - to access literature and peer-reviewed research related to barriers and enablers to quality medical and health care for adults with autism spectrum disorder.
Historical - study of validated tools for researching the studied problem
Conclusions: The environment is a factor that can provoke anxiety and uncertainty in a patient with autism. Physical proximity to other people, sensory self-stimulation, disturbing sounds can be the cause of poor or impossible communication with an autistic patient. Poor communication and lack of understanding of the needs of the person with autism are the main factors that prevent them from receiving quality medical and health care.
Autism Spectrum Academic Partnership in Research and Education, (29.09.2023)
American Psychiatric Association (2013), Highlights of Changes from DSM-IV-TR to DSM-5, (30.09.2023)
Autism Awareness Centre (2023), Definition of Autism, (30.09.2023)
Blatt, G. (2023), Аutism, Encyclopedia Britannica, (27.09.2023)
Calleja, S., Islam, FMA., Kingsley, J., McDonald, R. (2020), Healthcare access for autistic adults: A systematic review. Medicine (Baltimore). 2020 Jul 17;99(29):e20899. doi: 10.1097/MD.0000000000020899. PMID: 32702830; PMCID: PMC7373620.
Cohmer, S. (2014), "Autistic Disturbances of Affective Contact" (1943), by Leo Kanner", Embryo Project Encyclopedia (2014-05-23). ISSN: 1940-5030, (27.09.2023)
Dunlap, JJ., Filipek, PA. CE: Autism Spectrum Disorder: The Nurse's Role. (2020), Am J Nurs. 2020 Nov;120(11):40-49. doi: 10.1097/01.NAJ.0000721236.69639.e3. PMID: 33086217.
Dunlap, JJ. (2018), Interacting with individuals on the autism spectrum. Successful care depends on communication with patients, families, and caregivers, American Nurse Journal, April 10, 2018, (01.10.2023)
Fortuna, RJ., Robinson, L., Smith, TH., Meccarello, J., Bullen, B., Nobis. K., Davidson. PW. (2016)р Health Conditions and Functional Status in Adults with Autism: A Cross-Sectional Evaluation. J Gen Intern Med. 2016 Jan;31(1):77-84. doi: 10.1007/s11606-015-3509-x. Epub 2015 Sep 11. PMID: 26361965; PMCID: PMC4700008.
Gándara Rossi, CC. (2007), Implementing TEACCH educational intervention principles and communication strategies for persons with autism, Revista de Logopedia, Foniatría y Audiología, Volume 27, Issue 4, 2007, Pages 173-185, ISSN 0214-4603, https://doi.org/10.1016/S0214-4603(07)70086-4. https://www.sciencedirect.com/science/article/pii/S0214460307700864 (01.10.2023)
Nicolaidis, C., Kripke, CC., Raymaker, D. (2014), Primary care for adults on the autism spectrum., Med Clin North Am., 2014 Sep;98(5):1169-91. doi: 10.1016/j.mcna.2014.06.011. PMID: 25134878; PMCID: PMC4851469.
Vahia, VN., Diagnostic and statistical manual of mental disorders 5: A quick glance. Indian J Psychiatry. (2013), Jul;55(3):220-3. doi: 10.4103/0019-5545.117131. PMID: 24082241; PMCID: PMC3777342.
World Health Organization (2023), Autism, (27.09.2023)
