Healthcare Service Utilization and Cost among Transition-Age Youth with Autism Spectrum Disorder and Other Special Healthcare Needs

Autor/inn/en	Ames, Jennifer L.; Massolo, Maria L.; Davignon, Meghan N.; Qian, Yinge; Croen, Lisa A.
Titel	Healthcare Service Utilization and Cost among Transition-Age Youth with Autism Spectrum Disorder and Other Special Healthcare Needs
Quelle	In: Autism: The International Journal of Research and Practice, 25 (2021) 3, S.705-718 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Ames, Jennifer L.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361320931268
Schlagwörter	Autism; Pervasive Developmental Disorders; Youth; Adolescents; Young Adults; Access to Health Care; Health Care Costs; Attention Deficit Hyperactivity Disorder; Diabetes; Age Differences; Gender Differences; Clinics; Primary Health Care; Mental Health; Drug Therapy; Obstetrics; Gynecology; Hospitals; Neurology; Pediatrics; Physical Therapy; Occupational Therapy; Speech Therapy; Radiology; Laboratories; Physical Health; Preventive Medicine; California + Suchen Sie Ihr Suchwort? Autismus; Jugend; Jugendlicher; Jugendalter; Adolescent; Adolescence; Adoleszenz; Young adult; Junger Erwachsener; Age; Difference; Age difference; Altersunterschied; Geschlechterkonflikt; Gesundheitsvorsorge; Psychohygiene; Geburtshilfe; Gynäkologie; Krankengymnast; Krankenhaus; Neurologie; Klinische Sozialpädiatrie; Physiotherapie; Beschäftigungstherapie; Entwicklungsproximale Sprachtherapie; Logotherapie; Radiologie; Laboratory; Laboratorium; Gesundheitszustand; Kalifornien
Abstract	Youth with autism spectrum disorder often have complex medical needs. Disruptions of healthcare during the transition from pediatric to adult healthcare may put youth with autism spectrum disorder at higher risk of medical emergencies and high medical costs. We conducted a study among transition-age youth (14-25 years old) receiving healthcare at Kaiser Permanente Northern California during 2014-2015. We examined the differences in healthcare utilization and costs among youth with autism spectrum disorder (n = 4123), attention deficit and hyperactivity disorder (n = 20,6015), diabetes mellitus (n = 2156), and general population controls (n = 20,615). Analyses were also stratified by age and sex. Youth with autism spectrum disorder had the highest utilization of outpatient primary care, mental health, and psychotropic medications and the lowest utilization of obstetrics/gynecology and urgent care. Costs for youth with autism spectrum disorder were higher than those for attention deficit and hyperactivity disorder and general population peers and lower than for diabetes mellitus. Utilization patterns varied by age. Transition-age youth with autism spectrum disorder generally utilize healthcare at higher rates relative to attention deficit and hyperactivity disorder and general population peers but at similar or lower rates than diabetes mellitus peers, indicating this group's complex combination of psychiatric and medical healthcare needs. The relatively high utilization of psychiatric services and low utilization of women's health services in transition-age youth with autism spectrum disorder may have implications for long-term health and warrants additional research. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01