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私人保险人群中患有自闭症谱系障碍儿童的医疗支出。

Medical expenditures for children with an autism spectrum disorder in a privately insured population.

作者信息

Shimabukuro Tom T, Grosse Scott D, Rice Catherine

机构信息

Health Services Research and Evaluation Branch, Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

J Autism Dev Disord. 2008 Mar;38(3):546-52. doi: 10.1007/s10803-007-0424-y. Epub 2007 Aug 10.

Abstract

This study provides estimates of medical expenditures for a subset of children and adolescents who receive employer-based health insurance and have a medical diagnosis of an autism spectrum disorder (ASD). Data analyzed were from the 2003 MarketScan research databases. Individuals with an ASD had average medical expenditures that exceeded those without an ASD by $4,110-$6,200 per year. On average, medical expenditures for individuals with an ASD were 4.1-6.2 times greater than for those without an ASD. Differences in median expenditures ranged from $2,240 to $3,360 per year with median expenditures 8.4-9.5 times greater. These findings add to a growing body of evidence that children and adolescents with medical diagnoses of an ASD incur elevated medical utilization and costs.

摘要

本研究提供了对一部分患有自闭症谱系障碍(ASD)且通过雇主获得医疗保险的儿童和青少年医疗支出的估计。所分析的数据来自2003年的MarketScan研究数据库。患有ASD的个体平均医疗支出比未患ASD的个体每年高出4110美元至6200美元。平均而言,患有ASD的个体的医疗支出是未患ASD个体的4.1至6.2倍。每年中位数支出的差异在2240美元至3360美元之间,中位数支出高出8.4至9.5倍。这些发现进一步证明,被诊断患有ASD的儿童和青少年的医疗利用率和成本更高,相关证据越来越多。

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