Table 2 The main problems of medical management of individuals with ASD (including monitoring and follow-up of comorbidities) and possible problem solving in medical practice
No. | Problems | Problem solving |
|---|---|---|
1 | Difficulties in early ASD identification by primary care pediatricians and limited provider ASD knowledge in general | (1–3) Changes into the medical education program: extending the topics of child and adolescent mental health, adequate studying of ASD in a multidisciplinary context, the development of diagnostic routing protocols, training in practical skills of communication with ASD patients and their examination |
2 | Lack of adequate skills in examination of patients with evident behavioral disorders | |
3 | Poor understanding of the need to adjust communication styles to be effective with patients | |
4 | Lack of the proper development of competence and skills in identification, assessment and follow-up of concomitant diseases | (4–5) Conducting multidisciplinary thematic conferences and studies. Development of methodical and clinical recommendations on identification and treatment of concomitant diseases in patients with ASD with participation of a multidisciplinary working group. |
5 | Poor multidisciplinary cooperation of specialists | |
6 | Lack of specialist follow-up services for patients with ASD for successful health examination | (6–7) Changes in health care system legal regulations |
7 | Low adjustment of health care environments for patients with ASD |