PDF(Pubmed)
Abstract：
The present report from the field tries to present challenges associated with establishing healthcare services for individuals with autism spectrum disorders (ASD) in a low- and middle-income area. The given case that has been highlighted is establishing daycare services focusing on rehabilitation and training services for individuals with ASD, and their caregivers and family members, in the Kurdistan Region of Iraq (KRI). Based on my experience, the associated challenges are divided into three primary levels: personal, professional, and organizational. The report highlights the importance of understanding the challenges associated with establishing healthcare services with the desire to put them under control. Plus, understanding the cultural aspects of the healthcare services for individuals with ASD experiences to address the issues at each level shared. It is concluded in the final part of the report that the key to establishing healthcare quality is to understand attitudes toward healthcare at the personal, professional, and organizational levels. This attitude determines the expectation from the services and defines assistance-seeking behaviors. Results offer insight for stakeholders in the healthcare field, allowing for a better understanding and improvement of availability and access to quality-driven healthcare services. A pre- and in-service training approach is practiced to address the associated challenges of establishing healthcare services at the personal level in KRI. A similar policy might be applicable in other LMICs, where there is a lack of professional and skillful healthcare service providers.
摘要：
本报告试图提出与在低收入和中等收入地区为自闭症谱系障碍（ASD）患者建立医疗保健服务相关的挑战。已强调的特定案例是建立日托服务，重点是为ASD患者提供康复和培训服务，以及他们的照顾者和家庭成员，伊拉克库尔德斯坦地区（KRI）根据我的经验,相关的挑战分为三个主要层面:个人、专业,和组织。该报告强调了理解与建立医疗保健服务相关的挑战并希望将其控制的重要性。另外，了解具有ASD经验的个人的医疗服务的文化方面，以解决共享的每个级别的问题。在报告的最后部分得出结论，建立医疗保健质量的关键是了解个人对医疗保健的态度，专业,和组织层面。这种态度决定了对服务的期望，并定义了寻求援助的行为。结果为医疗保健领域的利益相关者提供了洞察力，允许更好地理解和改善可用性和获得质量驱动的医疗保健服务。实行职前和在职培训方法，以解决在KRI中建立个人级别的医疗保健服务的相关挑战。类似的政策可能适用于其他LMIC，那里缺乏专业和熟练的医疗保健服务提供商。
