Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces
Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces
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DOI：
10.1007/s10803-019-03993-3
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发表时间：
2019-06-01
影响因子：
3.9
通讯作者：
Smith, Isabel M.
中科院分区：
文献类型：
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作者：
Tsiplova, Kate;Ungar, Wendy J.;Smith, Isabel M.
本研究从多个支付方的角度，在加拿大两个省，新斯科舍省（NS）和新玩法（NB），在早期强化行为干预（EIBI）开始之前和之后的12个月内，测量了社区部门学前自闭症谱系障碍（ASD）相关服务的资源利用和成本。结果表明，NB和NS之间的服务利用和成本的家庭，公共部门和社会的显着差异。差异可归因于EIBI交付模式的变化，也可能受到诊断评估实践差异的影响。研究结果提供了资源利用率和成本，可用于未来的经济评估，并为政策制定提供信息，以改善ASD儿童的结果。
This study measured resource utilization and costs for pre-school autism spectrum disorder (ASD)-related services in community-based sectors from multiple payer perspectives in two Canadian provinces, Nova Scotia (NS) and New Brunswick (NB), during the 12months prior to and following the start of early intensive behavioural intervention (EIBI). The results indicate significant differences between NB and NS in utilization of services and costs to families, public sector and society. Differences can be attributed to variation in EIBI delivery models and may also be influenced by differences in diagnostic assessment practices. The study results provide resource utilization rates and costs which could be used in future economic evaluations and to inform policy making to improve outcomes for children with ASD.