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The health care costs of caring for children and adolescents with autism spectrum disorder: A population-based analysis / Claire DE OLIVEIRA in Research in Autism Spectrum Disorders, 108 (October 2023)
[article]
Titre : The health care costs of caring for children and adolescents with autism spectrum disorder: A population-based analysis Type de document : Texte imprimé et/ou numérique Auteurs : Claire DE OLIVEIRA, Auteur ; Bryan TANNER, Auteur Article en page(s) : p.102255 Mots-clés : Autism Autism spectrum disorder Health care costs Administrative health care data Index. décimale : PER Périodiques Résumé : Purpose Population-based data are required to obtain a comprehensive estimate of the health care costs associated with autism spectrum disorder (ASD) to ensure scarce resources are distributed equitably. Moreover, it is important to understand how the health care costs associated with ASD have changed over time. Methods Using health records from Ontario, Canada, this analysis estimated the prevalence-based health care costs associated with ASD among children and adolescents in 2015, overall, by sex and age group, compared to a random sample of children and adolescents without ASD, and examined how these costs changed from 2015 to 2021. Results Children and adolescents with ASD had mean health care costs of $3003.65, 95% CI [$2870.38-$3136.92], while those without ASD had mean health care costs of $814.74, 95% CI [$772.83-$856.64]. Costs were mostly due to home care and physician services, were higher for females, and increased with age. Total mean costs were relatively stable from 2015 to 2019 at about $3000 but then decreased to $2597.53 in 2020 and increased to $2723.61 in 2021. Conclusion These estimates will be important for decision makers to inform resource allocation and may serve as useful inputs for future economic evaluations of ASD-related health care interventions. En ligne : https://doi.org/10.1016/j.rasd.2023.102255 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514
in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102255[article] The health care costs of caring for children and adolescents with autism spectrum disorder: A population-based analysis [Texte imprimé et/ou numérique] / Claire DE OLIVEIRA, Auteur ; Bryan TANNER, Auteur . - p.102255.
in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102255
Mots-clés : Autism Autism spectrum disorder Health care costs Administrative health care data Index. décimale : PER Périodiques Résumé : Purpose Population-based data are required to obtain a comprehensive estimate of the health care costs associated with autism spectrum disorder (ASD) to ensure scarce resources are distributed equitably. Moreover, it is important to understand how the health care costs associated with ASD have changed over time. Methods Using health records from Ontario, Canada, this analysis estimated the prevalence-based health care costs associated with ASD among children and adolescents in 2015, overall, by sex and age group, compared to a random sample of children and adolescents without ASD, and examined how these costs changed from 2015 to 2021. Results Children and adolescents with ASD had mean health care costs of $3003.65, 95% CI [$2870.38-$3136.92], while those without ASD had mean health care costs of $814.74, 95% CI [$772.83-$856.64]. Costs were mostly due to home care and physician services, were higher for females, and increased with age. Total mean costs were relatively stable from 2015 to 2019 at about $3000 but then decreased to $2597.53 in 2020 and increased to $2723.61 in 2021. Conclusion These estimates will be important for decision makers to inform resource allocation and may serve as useful inputs for future economic evaluations of ASD-related health care interventions. En ligne : https://doi.org/10.1016/j.rasd.2023.102255 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514 Systematic review of disparities in health care for individuals with autism spectrum disorders in the United States / Megan K. TREGNAGO in Research in Autism Spectrum Disorders, 6-3 (July-September 2012)
[article]
Titre : Systematic review of disparities in health care for individuals with autism spectrum disorders in the United States Type de document : Texte imprimé et/ou numérique Auteurs : Megan K. TREGNAGO, Auteur ; Nancy C. CHEAK-ZAMORA, Auteur Année de publication : 2012 Article en page(s) : p.1023-1031 Langues : Anglais (eng) Mots-clés : Autism Health care costs Accessibility Disparities Medical home Health care utilization Index. décimale : PER Périodiques Résumé : Authors conducted a systematic review of the literature to determine whether differences exist for children with ASD versus children without ASD in the utilization, accessibility, and cost of their health care services. Population and outcome variables of interest were used to search for articles in Medline and PsycInfo databases. Thirteen studies comparing ASD and other groups of children without ASD were reviewed. A review of these publications revealed that children with ASD have higher health care utilization and costs, and worse access to care and medical homes. These results have implications for autism research and insurance policy to reduce health care utilization and costs, and ensure proper insurance coverage. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.01.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=153
in Research in Autism Spectrum Disorders > 6-3 (July-September 2012) . - p.1023-1031[article] Systematic review of disparities in health care for individuals with autism spectrum disorders in the United States [Texte imprimé et/ou numérique] / Megan K. TREGNAGO, Auteur ; Nancy C. CHEAK-ZAMORA, Auteur . - 2012 . - p.1023-1031.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 6-3 (July-September 2012) . - p.1023-1031
Mots-clés : Autism Health care costs Accessibility Disparities Medical home Health care utilization Index. décimale : PER Périodiques Résumé : Authors conducted a systematic review of the literature to determine whether differences exist for children with ASD versus children without ASD in the utilization, accessibility, and cost of their health care services. Population and outcome variables of interest were used to search for articles in Medline and PsycInfo databases. Thirteen studies comparing ASD and other groups of children without ASD were reviewed. A review of these publications revealed that children with ASD have higher health care utilization and costs, and worse access to care and medical homes. These results have implications for autism research and insurance policy to reduce health care utilization and costs, and ensure proper insurance coverage. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.01.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=153 Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics / J. HOFER in Journal of Autism and Developmental Disorders, 52-2 (February 2022)
[article]
Titre : Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics Type de document : Texte imprimé et/ou numérique Auteurs : J. HOFER, Auteur ; F. HOFFMANN, Auteur ; M. DÖRKS, Auteur ; I. KAMP-BECKER, Auteur ; C. KÜPPER, Auteur ; L. POUSTKA, Auteur ; S. ROEPKE, Auteur ; V. ROESSNER, Auteur ; S. STROTH, Auteur ; N. WOLFF, Auteur ; C. J. BACHMANN, Auteur Article en page(s) : p.540-552 Langues : Anglais (eng) Mots-clés : Ambulatory Care Facilities Autism Spectrum Disorder/epidemiology/therapy Female Germany/epidemiology Health Care Costs Humans Male Mental Health Services Adolescents Adults Children Costs Germany Health services Index. décimale : PER Périodiques Résumé : Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ?85) from German outpatient clinics were assessed. Average annual costs per person were 3287 EUR, with psychiatric inpatient care (19.8%), pharmacotherapy (11.1%), and occupational therapy (11.1%) being the largest cost components. Females incurred higher costs than males (4864 EUR vs. 2936 EUR). In a regression model, female sex (Cost Ratio: 1.65), lower IQ (1.90), and Asperger syndrome (1.54) were associated with higher costs. In conclusion, ASD-related health costs are comparable to those of schizophrenia, thus underlining its public health relevance. Higher costs in females demand further research. En ligne : http://dx.doi.org/10.1007/s10803-021-04955-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455
in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.540-552[article] Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics [Texte imprimé et/ou numérique] / J. HOFER, Auteur ; F. HOFFMANN, Auteur ; M. DÖRKS, Auteur ; I. KAMP-BECKER, Auteur ; C. KÜPPER, Auteur ; L. POUSTKA, Auteur ; S. ROEPKE, Auteur ; V. ROESSNER, Auteur ; S. STROTH, Auteur ; N. WOLFF, Auteur ; C. J. BACHMANN, Auteur . - p.540-552.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.540-552
Mots-clés : Ambulatory Care Facilities Autism Spectrum Disorder/epidemiology/therapy Female Germany/epidemiology Health Care Costs Humans Male Mental Health Services Adolescents Adults Children Costs Germany Health services Index. décimale : PER Périodiques Résumé : Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ?85) from German outpatient clinics were assessed. Average annual costs per person were 3287 EUR, with psychiatric inpatient care (19.8%), pharmacotherapy (11.1%), and occupational therapy (11.1%) being the largest cost components. Females incurred higher costs than males (4864 EUR vs. 2936 EUR). In a regression model, female sex (Cost Ratio: 1.65), lower IQ (1.90), and Asperger syndrome (1.54) were associated with higher costs. In conclusion, ASD-related health costs are comparable to those of schizophrenia, thus underlining its public health relevance. Higher costs in females demand further research. En ligne : http://dx.doi.org/10.1007/s10803-021-04955-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015 / S. H. ZUVEKAS in Journal of Autism and Developmental Disorders, 51-8 (August 2021)
[article]
Titre : Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015 Type de document : Texte imprimé et/ou numérique Auteurs : S. H. ZUVEKAS, Auteur ; S. D. GROSSE, Auteur ; T. A. LAVELLE, Auteur ; M. J. MAENNER, Auteur ; P. DIETZ, Auteur ; X. JI, Auteur Article en page(s) : p.2950-2958 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder/diagnosis/economics/therapy Child Child, Preschool Female Health Care Costs Health Expenditures Humans Male United States Autism spectrum disorder Cost analysis Health economics Health services research article to disclose. Index. décimale : PER Périodiques Résumé : Published healthcare cost estimates for children with autism spectrum disorder (ASD) vary widely. One possible contributor is different methods of case ascertainment. In this study, ASD case status was determined using two sources of parent reports among 45,944 children ages 3-17 years in the Medical Expenditure Panel Survey (MEPS) linked to the National Health Interview Survey (NHIS) Sample Child Core questionnaire. In a two-part regression model, the incremental annual per-child cost of ASD relative to no ASD diagnosis was $3930 (2018 US dollars) using ASD case status from the NHIS Child Core and $5621 using current-year ASD case status from MEPS. Both estimates are lower than some published estimates but still represent substantial costs to the US healthcare system. En ligne : http://dx.doi.org/10.1007/s10803-020-04704-z 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.2950-2958[article] Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015 [Texte imprimé et/ou numérique] / S. H. ZUVEKAS, Auteur ; S. D. GROSSE, Auteur ; T. A. LAVELLE, Auteur ; M. J. MAENNER, Auteur ; P. DIETZ, Auteur ; X. JI, Auteur . - p.2950-2958.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2950-2958
Mots-clés : Adolescent Autism Spectrum Disorder/diagnosis/economics/therapy Child Child, Preschool Female Health Care Costs Health Expenditures Humans Male United States Autism spectrum disorder Cost analysis Health economics Health services research article to disclose. Index. décimale : PER Périodiques Résumé : Published healthcare cost estimates for children with autism spectrum disorder (ASD) vary widely. One possible contributor is different methods of case ascertainment. In this study, ASD case status was determined using two sources of parent reports among 45,944 children ages 3-17 years in the Medical Expenditure Panel Survey (MEPS) linked to the National Health Interview Survey (NHIS) Sample Child Core questionnaire. In a two-part regression model, the incremental annual per-child cost of ASD relative to no ASD diagnosis was $3930 (2018 US dollars) using ASD case status from the NHIS Child Core and $5621 using current-year ASD case status from MEPS. Both estimates are lower than some published estimates but still represent substantial costs to the US healthcare system. En ligne : http://dx.doi.org/10.1007/s10803-020-04704-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453