Cost comparison of early intensive behavioral intervention and treatment as usual for children with autism spectrum disorder in the Netherlands
Cost comparison of early intensive behavioral intervention and treatment as usual for children with autism spectrum disorder in the Netherlands
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DOI：
10.1016/j.ridd.2012.04.006
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发表时间：
2012-11-01
影响因子：
3.1
通讯作者：
Matson, Johnny
中科院分区：
文献类型：
--
作者：
Peters-Scheffer, Nienke;Didden, Robert;Matson, Johnny
早期强化行为干预（EIBI）可能会改善自闭症谱系障碍（ASD）儿童的认知，适应和社会功能，减少自闭症严重程度和行为问题。对于一小部分儿童来说，正常的功能可能是结果。然而，由于强度（每周20-40小时，持续3年，儿童工作人员比例较低），实施成本很高，可能会引起争议。荷兰自闭症患者的教育、（受支助的）工作和（受保护的）生活的估计费用采用成本抵消模式。提供EIBI的一个令人信服的理由是长期储蓄，从3岁到65岁，每个ASD患者约为1，103，067美元。将这些费用扩大到整个荷兰自闭症患者群体，估计可节省费用1，092 - 1，820亿欧元，不包括与通货膨胀有关的费用。(C)2012爱思唯尔有限公司保留所有权利。
Early intensive behavioral intervention (EIBI) may result in improved cognitive, adaptive and social functioning and reductions in autism severity and behavioral problems in children with Autism Spectrum Disorder (ASD). For a subset of children, normal functioning may be the result. However, due to the intensity (20-40 h per week for 3 years with a low child staff ratio) implementation costs are high and can be controversial. Estimated costs for education, (supported) work and (sheltered) living for individuals with ASD in the Netherlands are applied in a cost-offset model. A compelling argument for the provision of EIBI is long term savings which are approximately (sic) 1,103,067 from age 3 to 65 years per individual with ASD. Extending these costs to the whole Dutch ASD population, cost savings of (sic) 109.2-(sic) 182 billion have been estimated, excluding costs associated with inflation. (C) 2012 Elsevier Ltd. All rights reserved.