Medical Home Care and Educational Services for Children and Youth on the Autism Spectrum: A Scoping Review.

The review found only 18 eligible publications, and only five studies estimated associations, so it cannot show which medical home care component matters most. Included studies used different designs and did not measure all medical home care components, so the evidence is uneven and not directly comparable. One author extracted data, which could have caused classification errors. The search may have missed papers that did not mention medical home care or educational services in the title or abstract. The review covered ages 1 to 17, so it says little about transition-aged youth continuing in pediatric care. Samples often included White, non-Hispanic caregivers with private insurance and higher education, so findings may not fit families with different language, race, insurance, or rural access. The Andersen model was built for health services, and applying it to educational services may not capture all barriers.

Do not conclude that medical home care improves access to educational services for children on the autism spectrum. The review found only five studies estimating associations, with one negative and one positive result, so it cannot identify an effective pathway.