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Use, costs, and predictors of psychiatric healthcare services following an autism spectrum diagnosis: Population-based cohort study / C. CROTEAU in Autism, 23-8 (November 2019)
[article]
Titre : Use, costs, and predictors of psychiatric healthcare services following an autism spectrum diagnosis: Population-based cohort study Type de document : Texte imprimé et/ou numérique Auteurs : C. CROTEAU, Auteur ; Laurent MOTTRON, Auteur ; M. DORAIS, Auteur ; J. E. TARRIDE, Auteur ; S. PERREAULT, Auteur Article en page(s) : p.2020-2030 Langues : Anglais (eng) Mots-clés : age variation autism spectrum disorder economic costs health services healthcare utilization interventions-pharmacologic predictors psychiatric costs psychoactive drugs Index. décimale : PER Périodiques Résumé : A number of cross-sectional studies report extensive use of psychiatric services and high healthcare costs in autistic youths. However, little is known about how the use of these services evolves from the time of diagnosis, as children grow up. Our objectives were to investigate the use, costs, and predictors of psychiatric services following autism spectrum diagnosis. We built a cohort of 1227 newly diagnosed autism spectrum individuals identified in the Quebec (Canada) Regie de l'assurance maladie du Quebec administrative database (January 1998 to December 2010). Mean number and cost per individual of psychiatric healthcare use (hospitalizations, medical visits, psychoactive drug use) were calculated yearly for 5 years following autism spectrum diagnosis. Mean number of psychiatric visits decreased over time by more than threefold (7.5 vs 2.1 visits) from year 1 to year 5, whereas psychoactive drug use increased from 16.0 to 25.2 claims. Psychiatric hospitalizations decreased during follow-up, but still represented the greatest costs per individual (CAD9820 for year 1; CAD4628 for year 5). Antipsychotics represented over 50% of drug costs. Mixed-effect model with repeated measures showed that previous psychoactive drug use was the strongest predictor of greater psychiatric healthcare cost during follow-up (odds ratio: 9.96; 95% confidence interval: 7.58-13.10). These trends contrast with guidelines advocating cautious prescribing of antipsychotics with periodical re-assessment of their benefit. En ligne : http://dx.doi.org/10.1177/1362361319840229 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=407
in Autism > 23-8 (November 2019) . - p.2020-2030[article] Use, costs, and predictors of psychiatric healthcare services following an autism spectrum diagnosis: Population-based cohort study [Texte imprimé et/ou numérique] / C. CROTEAU, Auteur ; Laurent MOTTRON, Auteur ; M. DORAIS, Auteur ; J. E. TARRIDE, Auteur ; S. PERREAULT, Auteur . - p.2020-2030.
Langues : Anglais (eng)
in Autism > 23-8 (November 2019) . - p.2020-2030
Mots-clés : age variation autism spectrum disorder economic costs health services healthcare utilization interventions-pharmacologic predictors psychiatric costs psychoactive drugs Index. décimale : PER Périodiques Résumé : A number of cross-sectional studies report extensive use of psychiatric services and high healthcare costs in autistic youths. However, little is known about how the use of these services evolves from the time of diagnosis, as children grow up. Our objectives were to investigate the use, costs, and predictors of psychiatric services following autism spectrum diagnosis. We built a cohort of 1227 newly diagnosed autism spectrum individuals identified in the Quebec (Canada) Regie de l'assurance maladie du Quebec administrative database (January 1998 to December 2010). Mean number and cost per individual of psychiatric healthcare use (hospitalizations, medical visits, psychoactive drug use) were calculated yearly for 5 years following autism spectrum diagnosis. Mean number of psychiatric visits decreased over time by more than threefold (7.5 vs 2.1 visits) from year 1 to year 5, whereas psychoactive drug use increased from 16.0 to 25.2 claims. Psychiatric hospitalizations decreased during follow-up, but still represented the greatest costs per individual (CAD9820 for year 1; CAD4628 for year 5). Antipsychotics represented over 50% of drug costs. Mixed-effect model with repeated measures showed that previous psychoactive drug use was the strongest predictor of greater psychiatric healthcare cost during follow-up (odds ratio: 9.96; 95% confidence interval: 7.58-13.10). These trends contrast with guidelines advocating cautious prescribing of antipsychotics with periodical re-assessment of their benefit. En ligne : http://dx.doi.org/10.1177/1362361319840229 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=407 The impact of childhood autism spectrum disorder on parent's labour force participation: Can parents be expected to be able to re-join the labour force? / E. J. CALLANDER in Autism, 22-5 (July 2018)
[article]
Titre : The impact of childhood autism spectrum disorder on parent's labour force participation: Can parents be expected to be able to re-join the labour force? Type de document : Texte imprimé et/ou numérique Auteurs : E. J. CALLANDER, Auteur ; D. B. LINDSAY, Auteur Article en page(s) : p.542-548 Langues : Anglais (eng) Mots-clés : autism spectrum disorders economic costs Index. décimale : PER Périodiques Résumé : Parental employment is a significant factor in ensuring financial ability to access care for children with autism spectrum disorder. This article aimed to identify the influence of autism spectrum disorder on parental employment and whether childcare access may effect labour force participation using the Longitudinal Survey of Australian Children, with 12 years of follow-up data (2004-2015). Parental employment when the child was aged between 0 and 11 years was assessed. A significantly larger percentage of parents whose children had autism spectrum disorder were not in the labour force when their child was aged between 2-3 and 10-11 years. However, between the ages of 2 and 5 years, these differences were not significant after accounting for maternal and paternal age, education attainment, marital status and mother labour force status prior to birth. Childcare access did not moderate the relationship between autism spectrum disorder and maternal labour force participation. Once children were of schooling age, mothers of children with autism spectrum disorder had up to two times the odds of being not in the labour force compared to other mothers, after adjusting for confounders. Evaluations of new interventions for children with autism spectrum disorder should consider how the proposed service impacts on the labour force participation of parents of children with autism spectrum disorder, particularly when the children are of schooling age. En ligne : http://dx.doi.org/10.1177/1362361316688331 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=366
in Autism > 22-5 (July 2018) . - p.542-548[article] The impact of childhood autism spectrum disorder on parent's labour force participation: Can parents be expected to be able to re-join the labour force? [Texte imprimé et/ou numérique] / E. J. CALLANDER, Auteur ; D. B. LINDSAY, Auteur . - p.542-548.
Langues : Anglais (eng)
in Autism > 22-5 (July 2018) . - p.542-548
Mots-clés : autism spectrum disorders economic costs Index. décimale : PER Périodiques Résumé : Parental employment is a significant factor in ensuring financial ability to access care for children with autism spectrum disorder. This article aimed to identify the influence of autism spectrum disorder on parental employment and whether childcare access may effect labour force participation using the Longitudinal Survey of Australian Children, with 12 years of follow-up data (2004-2015). Parental employment when the child was aged between 0 and 11 years was assessed. A significantly larger percentage of parents whose children had autism spectrum disorder were not in the labour force when their child was aged between 2-3 and 10-11 years. However, between the ages of 2 and 5 years, these differences were not significant after accounting for maternal and paternal age, education attainment, marital status and mother labour force status prior to birth. Childcare access did not moderate the relationship between autism spectrum disorder and maternal labour force participation. Once children were of schooling age, mothers of children with autism spectrum disorder had up to two times the odds of being not in the labour force compared to other mothers, after adjusting for confounders. Evaluations of new interventions for children with autism spectrum disorder should consider how the proposed service impacts on the labour force participation of parents of children with autism spectrum disorder, particularly when the children are of schooling age. En ligne : http://dx.doi.org/10.1177/1362361316688331 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=366