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

J Autism Dev Disord. 2019 Aug;49(8):3387-3400. doi: 10.1007/s10803-019-04049-2.

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.

Keywords: Adult; Autism; Barriers; Healthcare access; Physical health; Sensory sensitivities.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Autistic Disorder / psychology*
  • Communication*
  • Executive Function
  • Health Services Accessibility / statistics & numerical data*
  • Humans