[article] 
inJournal of Autism and Developmental Disorders > 40-10 (October 2010) . - p.1241-1246

Titre :	County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders
Type de document :	Texte imprimé et/ou numérique
Auteurs :	David S. MANDELL, Auteur ; Aubyn C. STAHMER, Auteur ; Knashawn H. MORALES, Auteur ; Ming XIE, Auteur ; Daniel POLSKY, Auteur ; Steven C. MARCUS, Auteur
Année de publication :	2010
Article en page(s) :	p.1241-1246
Langues :	Anglais (eng)
Mots-clés :	Autism-spectrum-disorders Medicaid Geographic-variation Prevalence
Index. décimale :	PER Périodiques
Résumé :	This study examined how county-level resources are associated with the identification of children with autism spectrum disorders (ASD) in Medicaid. Medicaid claims from 2004 were combined with county-level data. There were 61,891 children diagnosed with ASD in the Medicaid system in 2004. Counties with lower per-student education expenditures, more students, a greater proportion of students in special education, higher per capita number of pediatricians and pediatric specialists, and a greater proportion of Medicaid enrollees and white residents had higher Medicaid prevalence. Within states, counties differ in how they implement Medicaid policies. The results suggest the substitution of education and Medicaid-reimbursed services. Our findings highlight the need for geographically targeted outreach to minority groups and clinicians to improve recognition of ASD.
En ligne :	http://dx.doi.org/10.1007/s10803-010-0982-2
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=110

[article] County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / David S. MANDELL, Auteur ; Aubyn C. STAHMER, Auteur ; Knashawn H. MORALES, Auteur ; Ming XIE, Auteur ; Daniel POLSKY, Auteur ; Steven C. MARCUS, Auteur . - 2010 . - p.1241-1246.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 40-10 (October 2010) . - p.1241-1246

Mots-clés :	Autism-spectrum-disorders Medicaid Geographic-variation Prevalence
Index. décimale :	PER Périodiques
Résumé :	This study examined how county-level resources are associated with the identification of children with autism spectrum disorders (ASD) in Medicaid. Medicaid claims from 2004 were combined with county-level data. There were 61,891 children diagnosed with ASD in the Medicaid system in 2004. Counties with lower per-student education expenditures, more students, a greater proportion of students in special education, higher per capita number of pediatricians and pediatric specialists, and a greater proportion of Medicaid enrollees and white residents had higher Medicaid prevalence. Within states, counties differ in how they implement Medicaid policies. The results suggest the substitution of education and Medicaid-reimbursed services. Our findings highlight the need for geographically targeted outreach to minority groups and clinicians to improve recognition of ASD.
En ligne :	http://dx.doi.org/10.1007/s10803-010-0982-2
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=110