Department of Public Health Sciences, College of Medicine, Pennsylvania State University, University Park, PA, USA.
J Autism Dev Disord. 2013 May;43(5):1057-64. doi: 10.1007/s10803-012-1649-y.
Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs ($22,653 vs. $5,254), higher ASD-specific costs ($7,438 vs. $928), higher psychotropic medication costs($1,468 vs. $875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p < 0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism.
使用 24 个州的 2003 年保险索赔数据，比较了医疗补助（Medicaid）和私人保险在自闭症谱系障碍（ASD）方面的医疗成本和服务利用。就 ASD 儿童的每项成本和服务使用而言，医疗补助的总医疗费用更高（22653 美元比 5254 美元）、ASD 特定费用更高（7438 美元比 928 美元）、精神类药物费用更高（1468 美元比 875 美元）、言语治疗次数更多（13.0 次比 3.6 次）、职业/物理治疗次数更多（6.4 次比 0.9 次）、行为矫正/社交技能治疗次数更多（3.8 次比 1.1 次），均显著高于私人保险（均 P<0.0001）。在控制了其他变量后，多变量分析表明，在成本方面，参加医疗补助的影响最大。这些发现强调了继续努力改善自闭症私人保险覆盖范围的必要性。
