A review of healthcare service and education provision of Autism Spectrum Condition in mainland China.

Sun et al. (2013) searched Chinese and English databases for any paper about autism services in mainland China. They read every hit and grouped them by healthcare and education sectors.

The team wanted to see what autism help actually exists for families across the country.

The review found almost no studies and big service holes. Hospitals had long wait lists. Schools rarely offered autism classes. Families paid most costs themselves.

Rural areas were hit hardest. Cities had some options, but still too few.

Feng et al. (2025) later interviewed Chinese parents and gave these gaps a voice. Parents told the same story: little help, high bills, and feeling alone. The 2013 map and the 2025 stories line up perfectly.

Xie et al. (2023) built a tool to track family outcomes in China. They proved the survey works and showed Chinese caregivers score lower than Western peers. The tool now lets us measure the very shortages Xiang first described.

Sakhardande et al. (2026) ran a cost survey in urban India and found the same pain: over 70% of families spend more than one-tenth of monthly income on autism care. The money burden is not just a China problem; it spans South Asia.

If you coach families from mainland China, expect thin local backup and high out-of-pocket costs. Build low-budget parent training and link them to charity funds. When you design programs for Chinese partners, add extra budget lines for family travel and lost wages. The 2013 picture still holds: services are scarce, so your plan must fill the gaps.