Social Work Commons^™

A Systematic Review Of What Barriers And Facilitators Prevent And Enable Physical Healthcare Services Access For Autistic Adults, David Mason, Barry Ingham, Anna Urbanowicz, Cos Michael, Heather Birtles, Marc Woodbury‑Smith, Toni Brown, Ian James, Clare Scarlett, Christina Nicolaidis, Jeremy R. Parr

School of Social Work Faculty Publications and Presentations

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.