The lifetime distribution of the incremental societal costs of autism
The lifetime distribution of the incremental societal costs of autism
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DOI：
10.1001/archpedi.161.4.343
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发表时间：
2007-04-01
影响因子：
--
通讯作者：
Ganz, Michael L.
中科院分区：
文献类型：
--
作者：
Ganz, Michael L.
目的：描述特定年龄和终身递增的社会成本自闭症在美国。设计：估计使用和直接的医疗和非医疗护理的成本，从文献综述和数据库分析。采用人力资本办法来估计生产力损失。这些成本预计在整个生命周期，和折扣增量特定年龄costs.Setting：美国。参与者：假设的事件自闭症队列出生于2000年，诊断于2003.Main Outcome Measures：贴现人均增量社会costs.Results：孤独症的终身人均增量社会成本为320万美元。生产力损失和成人护理是成本的最大组成部分。整个生命周期的成本分布因成本category.Conclusions而异：虽然自闭症通常被认为是一种儿童疾病，但其成本可以很好地感受到成年。自闭症患者及其父母的成人护理和生产力损失所造成的巨大成本对婴儿潮一代接近退休的老龄化成员产生了重要影响，包括不仅影响这些家庭而且可能影响整个社会的巨大经济负担。这些结果可能意味着医生和其他护理专业人员应该考虑建议自闭症儿童的父母寻求财务咨询，以帮助计划向成年过渡。
Objective: To describe the age-specific and lifetime incremental societal costs of autism in the United States.Design: Estimates of use and costs of direct medical and nonmedical care were obtained from a literature review and database analysis. A human capital approach was used to estimate lost productivity. These costs were projected across the life span, and discounted incremental age-specific costs were computed.Setting: United States.Participants: Hypothetical incident autism cohort born in 2000 and diagnosed in 2003.Main Outcome Measures: Discounted per capita incremental societal costs.Results: The lifetime per capita incremental societal cost of autism is $3.2 million. Lost productivity and adult care are the largest components of costs. The distribution of costs over the life span varies by cost category.Conclusions: Although autism is typically thought of as a disorder of childhood, its costs can be felt well into adulthood. The substantial costs resulting from adult care and lost productivity of both individuals with autism and their parents have important implications for those aging members of the baby boom generation approaching retirement, including large financial burdens affecting not only those families but also potentially society in general. These results may imply that physicians and other care professionals should consider recommending that parents of children with autism seek financial counseling to help plan for the transition into adulthood.