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Table 1 Themes and subthemes within the taxonomy which guided item development

From: Development and preliminary evaluation of a novel physician-report tool for assessing barriers to providing care to autistic patients

Theme

Subtheme

Patient-related barriers: Barriers associated with autism-related characteristics

Communication/social difficulties

 

Issues with waiting

 

Issues with executive function

 

Sensory issues

 

Anxiety/other emotions

 

Need for consistency

 

Behavioural issues

Other patient-related barriers

Complexity of family involvement

 

Scepticism towards conventional medicine

HCP-related barriers

Lack of autism knowledge/skill

 

HCP inflexibility

 

Stigma/negative perceptions

 

Difficulties interpreting behaviour/symptoms

 

Ignoring patient/caregiver concerns/expertise

 

Poor HCP communication/failure to adapt language

System-related barriers

Lack of support for patients/caregivers

 

Lack of support for HCPs

 

Time/resource constraints

 

Lack of continuity/collaboration between HCPs/services

 

Location issues

 

Financial/insurance issues

 

Lack of qualified personnel

 

Inflexible HC system