Utilization of a Medicaid-Funded Intervention for Children With Autism
Utilization of a Medicaid-Funded Intervention for Children With Autism
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DOI：
10.1176/appi.ps.60.4.549
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发表时间：
2009-04-01
影响因子：
3.8
通讯作者：
Bier, Daniel
中科院分区：
文献类型：
--
作者：
Shattuck, Paul T.;Grosse, Scott;Bier, Daniel
目的：这项研究调查了威斯康星州的医疗补助基金在项目管理重大转变前后对自闭症干预的利用情况。研究方法：从2000年到2006年，对1,822名自闭症儿童的医疗补助登记数据进行了分析，地理编码的人口统计数据和十年一次的人口普查数据也进行了分析。登记者的数据与威斯康星州一般人口的人口统计数据进行了比较。结果如下：与所有威斯康星州家庭的平均水平相比，2000年新的医疗补助登记者更有可能来自人口普查区，其中白色家庭比例较高，社会经济地位较高。这些差距在2006年有所减少，两年后，从医疗补助收费服务结构改为医疗补助家庭和社区为基础的服务豁免。结论：随着越来越多的州考虑为自闭症儿童提供福利，需要密切关注潜在的差异以及管理模式对利用的影响。（精神病学服务60：549-552，2009）
Objective: The study examined utilization of Wisconsin's Medicaid funding for autism intervention before and after a major shift in program administration. Methods: Medicaid enrollment data were analyzed for 1,822 children with autism from 2000 through 2006, as were geocoded demographic data and decennial census data. Enrollees' data were compared with demographic data for Wisconsin's general population. Results: Compared with averages for all Wisconsin families, new Medicaid enrollees in 2000 were more likely to be from census tracts with a high proportion of white families with high socioeconomic status. These disparities decreased by 2006, two years after a change from a Medicaid fee-for-service structure to a Medicaid home-and community-based services waiver. Conclusions: As more states consider carve-out benefits for children with autism, close attention needs to be paid to the potential for disparities and the influence of mode of administration on utilization. (Psychiatric Services 60: 549-552, 2009)