Spending on Young Children With Autism Spectrum Disorder in Employer-Sponsored Plans, 2011-2017.
Spending on Young Children With Autism Spectrum Disorder in Employer-Sponsored Plans, 2011-2017.
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DOI：
10.1176/appi.ps.202000099
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发表时间：
2021-01-01
期刊：
影响因子：
--
通讯作者：
Yeargin-Allsopp M
中科院分区：
文献类型：
--
作者：
Grosse SD;Ji X;Nichols P;Zuvekas SH;Rice CE;Yeargin-Allsopp M
自闭症谱系障碍(ASD)患病率的快速上升以及获得强化行为干预的机会增加，可能会增加医疗保健支出。这项研究估计了患有和不患有自闭症的私人保险儿童最近的支出变化。对2011年至2017年大型雇主赞助的健康计划的索赔数据进行了重复的横断面分析，评估了参加≥1年的3-7岁儿童以及在一个日历年内有两个或更多具有自闭症账单代码的索赔以及所有其他儿童的服务类型的年度支出变化。2017年，每个被诊断为ASD的儿童的平均支出增加了51%，从2011年的大约13,000美元增加到2017年的20,000美元。在不符合本年度自闭症病例定义的儿童中，每个儿童的支出增加了8%。2011-2017年间，自闭症儿童的支出占3-7岁儿童支出增长的41%。每个患有自闭症儿童的门诊行为干预相关支出增加了376%，从2011年的1,746美元增加到2017年的8,317美元；所有其他服务的支出增加了2%。他们在行为干预相关支出中的份额从2011年的13.2%上升到2017年的41.7%。2011年，2.5%的被诊断为自闭症的儿童在门诊行为干预相关支出上花费了≥20,000美元，2017年这一比例上升至14.4%。2011-2017年间，私人保险的3-7岁患有自闭症的儿童的支出是没有自闭症的儿童的六倍，这主要是由于行为干预相关支出的增加。2017年，每七名儿童中就有一人接受了至少2万美元的服务。
Rapid increases in the prevalence of autism spectrum disorder (ASD) and increased access to intensive behavioral interventions have likely increased health care spending. This study estimated recent changes in spending among privately insured children with and without current ASD. A repeated cross-sections analysis of 2011–2017 claims data from large-employer–sponsored health plans assessed changes in annual expenditures by service type for children ages 3–7 enrolled for ≥1 year and with two or more claims with ASD billing codes within a calendar year and for all other children. Mean spending per child with a current-year ASD diagnosis increased by 51% in 2017 U.S. dollars, from roughly $13,000 in 2011 to $20,000 in 2017. Among children who did not meet the current-year ASD case definition, per-child spending increased by 8%. Spending on children with ASD accounted for 41% of spending growth for children ages 3–7 during 2011–2017. Outpatient behavioral intervention–related spending per child with ASD increased by 376%, from $1,746 in 2011 to $8,317 in 2017; spending on all other services increased by 2%. Their share of behavioral intervention–related spending increased from 13.2% in 2011 to 41.7% in 2017. In 2011, 2.5% of children with current-year ASD diagnoses incurred ≥$20,000 in outpatient behavioral intervention–related spending, which increased to 14.4% in 2017. During 2011–2017, spending increased six times as much for privately insured children ages 3–7 with current-year ASD as for children without ASD, largely from increased behavioral intervention–related spending. One in seven children received at least $20,000 in services in 2017.
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影响因子：
3
作者：
Candon MK;Barry CL;Epstein AJ;Marcus SC;Kennedy-Hendricks A;Xie M;Mandell DS
通讯作者：
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影响因子：
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通讯作者：
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影响因子：
3.1
作者：
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通讯作者：
Matson, Johnny