To evaluate a program aimed at improving screening completion rates for developmental and autism concerns in a large integrated health care system, focusing on enhancing equity and accessibility.
Key Findings:
Low rates of screening completion persist despite recommendations, indicating a need for systemic change.
High rates of false positives and negatives in commonly used screening tools highlight the need for improved methodologies.
Racial, ethnic, and socioeconomic disparities affect screening accuracy and completion, necessitating targeted interventions.
The EDSP demonstrated feasibility in asynchronous screening and follow-up, suggesting a model for future programs.
Interpretation:
While the EDSP shows promise in improving screening processes, separating developmental screening from well-child visits may introduce new barriers and inequities, such as reduced engagement with primary care providers.
Limitations:
The use of a second level 1 screening may not be validated and could duplicate efforts, potentially leading to inefficiencies.
Lower return rates for non-English-speaking families and marginalized groups highlight systemic inequities that must be addressed in program design.
Conclusion:
The study emphasizes the need for innovative approaches to autism screening and the importance of equity metrics in program design to ensure all children receive the necessary support.
