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

Lookup NU author(s): David Mason, Dr Barry Ingham, Dr Marc Woodbury-Smith, Toni Brown, Professor Jeremy Parr



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


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.

Publication metadata

Author(s): Mason D, Ingham B, Urbanowicz A, Michael C, Birtles H, Woodbury-Smith M, Brown T, James I, Scarlett C, Nicolaidis C, Parr JR

Publication type: Article

Publication status: Published

Journal: Journal of Autism and Developmental Disorders

Year: 2019

Volume: 49

Pages: 3387-3400

Online publication date: 23/05/2019

Acceptance date: 23/05/2019

Date deposited: 14/06/2019

ISSN (print): 0162-3257

ISSN (electronic): 1573-3432

Publisher: Springer


DOI: 10.1007/s10803-019-04049-2


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