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The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder / Guodong LIU in Journal of Autism and Developmental Disorders, 52-4 (April 2022)
[article]
Titre : The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Guodong LIU, Auteur ; Diana L. VELOTT, Auteur ; Lan KONG, Auteur ; Andrew W. DICK, Auteur ; David S. MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Michael J. MURRAY, Auteur ; Djibril M. BA, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.1587-1597 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder/economics/epidemiology/therapy Community Health Services/economics Emergency Service, Hospital/economics/statistics & numerical data Home Care Services/economics Humans Intellectual Disability/economics/epidemiology/therapy Medicaid/economics/statistics & numerical data Patient Acceptance of Health Care/statistics & numerical data Retrospective Studies United States/epidemiology Autism spectrum disorder Emergency departments Home and community-based services waiver Medicaid Index. décimale : PER Périodiques Résumé : Using the 2008-2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8% for individuals on autism specific and intellectual and developmental disabilities (IDD) waivers respectively, vs. 28.5% for those without a waiver. Multivariable logistic regression showed that, compared to no waiver, autism specific waivers (adjusted odds ratio: 0.62; 95% Confidence Interval: [0.58-0.66]) and IDD waivers (0.65; [0.64-0.66]) were strongly associated with reduced ED. These findings suggest that HCBS waivers are effective in reducing the incidence of ED visits among youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05060-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475
in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1587-1597[article] The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Guodong LIU, Auteur ; Diana L. VELOTT, Auteur ; Lan KONG, Auteur ; Andrew W. DICK, Auteur ; David S. MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Michael J. MURRAY, Auteur ; Djibril M. BA, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur . - p.1587-1597.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1587-1597
Mots-clés : Adolescent Autism Spectrum Disorder/economics/epidemiology/therapy Community Health Services/economics Emergency Service, Hospital/economics/statistics & numerical data Home Care Services/economics Humans Intellectual Disability/economics/epidemiology/therapy Medicaid/economics/statistics & numerical data Patient Acceptance of Health Care/statistics & numerical data Retrospective Studies United States/epidemiology Autism spectrum disorder Emergency departments Home and community-based services waiver Medicaid Index. décimale : PER Périodiques Résumé : Using the 2008-2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8% for individuals on autism specific and intellectual and developmental disabilities (IDD) waivers respectively, vs. 28.5% for those without a waiver. Multivariable logistic regression showed that, compared to no waiver, autism specific waivers (adjusted odds ratio: 0.62; 95% Confidence Interval: [0.58-0.66]) and IDD waivers (0.65; [0.64-0.66]) were strongly associated with reduced ED. These findings suggest that HCBS waivers are effective in reducing the incidence of ED visits among youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05060-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 51-8 (August 2021)
[article]
Titre : Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research Type de document : Texte imprimé et/ou numérique Auteurs : Paige E. CERVANTES, Auteur ; M. MATHEIS, Auteur ; J. ESTABILLO, Auteur ; Dana E. M. SEAG, Auteur ; K. L. NELSON, Auteur ; R. PETH-PIERCE, Auteur ; K. E. HOAGWOOD, Auteur ; S. M. HORWITZ, Auteur Article en page(s) : p.2751-2763 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder/economics/epidemiology/therapy Biomedical Research/economics/trends Child Child, Preschool Data Analysis Female Financial Management/economics/trends Humans Male National Institutes of Health (U.S.)/economics/trends Time Factors United States/epidemiology ASD policy ASD services research Autism spectrum disorder Community Mental Health Services Dissemination and implementation National Institutes of Health (U.S.) they have no conflict of interest. Index. décimale : PER Périodiques Résumé : Investments in autism spectrum disorder (ASD) research, guided by the Interagency Autism Coordinating Committee (IACC), have focused disproportionately on etiology over a well-established stakeholder priority area: research to improve accessibility and quality of community-based services. This study analyzed National Institutes of Health ASD services research funding from 2008 to 2018 to examine funding patterns, evaluate the impact of IACC objectives, and identify future directions. Approximately 9% of total funds were allocated to services research. This investment remained relatively stable across time and lacked diversity across domains (e.g., area of focus, ages sampled, implementation strategies used). While advancements were observed, including increased prevalence of projects focused on adult samples and on dissemination/implementation and prevention areas, greater investment in service research is critically needed. En ligne : http://dx.doi.org/10.1007/s10803-020-04746-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2751-2763[article] Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research [Texte imprimé et/ou numérique] / Paige E. CERVANTES, Auteur ; M. MATHEIS, Auteur ; J. ESTABILLO, Auteur ; Dana E. M. SEAG, Auteur ; K. L. NELSON, Auteur ; R. PETH-PIERCE, Auteur ; K. E. HOAGWOOD, Auteur ; S. M. HORWITZ, Auteur . - p.2751-2763.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2751-2763
Mots-clés : Adolescent Autism Spectrum Disorder/economics/epidemiology/therapy Biomedical Research/economics/trends Child Child, Preschool Data Analysis Female Financial Management/economics/trends Humans Male National Institutes of Health (U.S.)/economics/trends Time Factors United States/epidemiology ASD policy ASD services research Autism spectrum disorder Community Mental Health Services Dissemination and implementation National Institutes of Health (U.S.) they have no conflict of interest. Index. décimale : PER Périodiques Résumé : Investments in autism spectrum disorder (ASD) research, guided by the Interagency Autism Coordinating Committee (IACC), have focused disproportionately on etiology over a well-established stakeholder priority area: research to improve accessibility and quality of community-based services. This study analyzed National Institutes of Health ASD services research funding from 2008 to 2018 to examine funding patterns, evaluate the impact of IACC objectives, and identify future directions. Approximately 9% of total funds were allocated to services research. This investment remained relatively stable across time and lacked diversity across domains (e.g., area of focus, ages sampled, implementation strategies used). While advancements were observed, including increased prevalence of projects focused on adult samples and on dissemination/implementation and prevention areas, greater investment in service research is critically needed. En ligne : http://dx.doi.org/10.1007/s10803-020-04746-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453