Health Care Utilization and Expenditures for Children with Autism: Data from U.S. National Samples
Little is known about the use of medical services by children who have autism (ASD). Provide nationally representative data for health service utilization and expenditures of children with ASD. Cross-sectional survey using the Medical Expenditure Panel (MEPS), and National (Hospital) Ambulatory Medical Care Surveys (N(H)AMCS). A total of 80 children with ASD were identified from N(H)AMCS (weighted sample size (wss) 186,281), and 31 (wss 340,158) from MEPS. They had more outpatient visits, physician visits, and medications prescribed than children in general. They spent more time during physician visits than other children. Annual expenses for children with autism spectrum disorder (6,132 dollars) were more than for other children (860 dollars). Children with ASD have a substantial burden of medical illness.
Available from: John Heritage
- "Liptak et al. (2006) report that children with ASD in their study averaged outpatient visits that were twice as long compared to other children's (31.9 vs. 15.8 min). They also had significantly more outpatient visits (41.5 vs. 3.3) and physician visits (8.0 vs. 2.2) (Liptak et al. 2006, p. 876). Children with ASD in Croen et al.'s (2006) study were hospitalized at a higher rate, were nearly 9 times more likely to use psychotherapeutic medications , and twice as likely to use gastrointestinal agents than children without ASD. "
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ABSTRACT: Conversation and discourse analyses were used to examine medical problem presentation in pediatric care. Healthcare visits involving children with ASD and typically developing children were analyzed. We examined how children’s communicative and epistemic capabilities, and their opportunities to be socialized into a competent patient role are interactionally achieved. We found that medical problem presentation is designed to contain a ‘pre-visit’ account of the interactional and epistemic work that children and caregivers carry out at home to identify the child’s health problems; and that the intersubjective accessibility of children’s experiences that becomes disrupted by ASD presents a dilemma to all participants in the visit. The article examines interactional roots of unmet healthcare needs and foregone medical care of people with ASD.
Available from: Karen A Kuhlthau
- "Studies have also shown that healthcare expenditures are significantly higher for children with ASD than for children without ASD (Croen et al., 2006; Leslie and Martin, 2007; Liptak et al., 2006). "
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ABSTRACT: The objectives of this study are to evaluate the employee benefits parents of children with autism spectrum disorders have, how benefits are used, work change, and job satisfaction. We conducted a cross-sectional mailed survey study of 435 families with children with autism spectrum disorders residing in the United States. We received 161 surveys for a response rate of 37%. Families reported using the following benefits: 39% paid family leave, 19% unpaid family leave, 91% flexible work arrangements, and 86% telecommuting. Of respondents, 43% reported stopping work, cutting down on hours worked, or changing jobs because of their child's condition. Having paid family leave was a positive predictor for job satisfaction. Parents of children with autism spectrum disorders have an interest and need for alternative work arrangements.
© The Author(s) 2015.
Available from: Dawn Anderson-Butcher
- "As the prevalence of children, youth, and young adults with ASD is increasing, demands on the service delivery system are growing and intensifying (Dymond, Gilson, & Myran, 2007). Further, the needs of individuals with ASD tend to be numerous and complex, leading to higher rates of physician visits and educational and school-based service utilization as compared to individuals with non-ASD diagnoses (Liptak, Stuart, & Auinger, 2006; Mandell, Walrath, Manteuffel, Sgro, & Pinto-Martin, 2005). States are struggling to meet the growing demand for publicly funded services among individuals with ASD (Mauch, Pfefferle, Booker, Pustell, & Levin, 2011; Müller, 2006). "
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