Peng Chun-Zi, Hatlestad Preston, Klug Marilyn G, Kerbeshian Jacob, Burd Larry
Department of Pediatrics, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota 58202-9037, USA.
J Child Neurol. 2009 Feb;24(2):140-7. doi: 10.1177/0883073808321059.
In this study, we used data from the North Dakota Medicaid claims database from 1998 through 2004 to estimate health care utilization rates and cost of care for children with pervasive developmental disorders. From the dataset, we developed a group comprised of children with pervasive developmental disorders (n = 546) and 2 comparison groups: children with other mental disorders (n = 18 363) and children who did not have pervasive developmental disorders or any mental disorders (n = 63 202). Participants with pervasive developmental disorders utilized 4.6% of all visits and 5% of the total cost of health care over the 7-year period. The average annual cost of care for children with pervasive developmental disorders was much higher than the cost for children without mental disorders for outpatient services ($5051 vs $360, ratio = 14:1), inpatient services ($1585 vs $458, ratio = 3.4:1), and pharmacy services ($1258 vs $82, ratio = 15:1). Children with pervasive developmental disorders covered by Medicaid have increased costs of health care.
在本研究中，我们使用了北达科他州1998年至2004年医疗补助索赔数据库中的数据，以估算广泛性发育障碍儿童的医疗利用率和护理成本。从该数据集中，我们建立了一个由广泛性发育障碍儿童组成的组（n = 546）以及两个对照组：患有其他精神障碍的儿童（n = 18363）和既没有广泛性发育障碍也没有任何精神障碍的儿童（n = 63202）。在这7年期间，患有广泛性发育障碍的参与者占所有就诊次数的4.6%，占医疗总费用的5%。广泛性发育障碍儿童的年均护理成本在门诊服务（5051美元对360美元，比率 = 14:1）、住院服务（1585美元对458美元，比率 = 3.4:1）和药房服务（1258美元对82美元，比率 = 15:1）方面远高于无精神障碍儿童的成本。由医疗补助覆盖的广泛性发育障碍儿童的医疗保健成本有所增加。
