Health care expenditures associated with autism spectrum disorders
Health care expenditures associated with autism spectrum disorders
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DOI：
10.1001/archpedi.161.4.350
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发表时间：
2007-04-01
影响因子：
--
通讯作者：
Martin, Andres
中科院分区：
文献类型：
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作者：
Leslie, Douglas L.;Martin, Andres
目的：为了研究与自闭症谱系障碍（ASD）相关的医疗保健支出在医疗保健settings.Design：回顾性分析的健康保险索赔数据。设置：行政索赔数据库的国家样本的私人保险个人。参与者：儿童和青少年17岁及以下的诊断为精神障碍之间的2000年和2004年。年度住院病人，门诊病人，和处方药expenditures.Results：平均医疗保健支出的个人与ASD增加了20.4%，从2000年的每名患者4965美元到2004年的每名患者5979美元，即使在通货膨胀调整后。当与ASD患病率上升相结合时，与ASD相关的每10000人覆盖生活的总支出在5年期间增加了142.1%。虽然每治疗患者的总支出较高的ASD患者比其他精神疾病的个人，ASD造成了较小的负担，因为他们的治疗患病率相对较低的健康保险公司，因为他们的prevalence.Conclusions：在预期的模式，早期识别和更积极的治疗ASD在未来几年，自闭症的负担对医疗保健系统将继续增加。应努力确保这一弱势群体获得护理的机会不受影响。
Objective: To examine the health care expenditures associated with autism spectrum disorders (ASDs) in medical care settings.Design: Retrospective analysis of health insurance claims data.Setting: Administrative claims database for a national sample of privately insured individuals.Participants: Children and adolescents 17 years and younger with a diagnosis of a mental disorder between 2000 and 2004.Main Outcome Measures: Annual inpatient, outpatient, and prescription drug expenditures.Results: Average health care expenditures for individuals with an ASD increased 20.4% from $4965 per patient in 2000 to $5979 per patient in 2004, even after adjustment for inflation. When combined with rising ASD prevalence rates, total expenditures per 10 000 covered lives associated with ASDs increased 142.1% over the 5-year period. Although total expenditures per treated patient were higher for patients with ASDs than for individuals with other mental disorders, ASDs created a smaller burden on health insurers because of their relatively low treated prevalence.Conclusions: In light of anticipated patterns of earlier identification and more proactive treatment of ASDs in the years to come, the burden of autism on the health care system will continue to increase. Efforts should be made to ensure that access to care for this vulnerable population is not compromised.