发育障碍儿童的治疗用途：科罗拉多医疗补助数据的分析
Therapy Use for Children With Developmental Conditions: Analysis of Colorado Medicaid Data.
作者信息
McManus Beth M, Rapport Mary Jane, Richardson Zachary, Lindrooth Richard
机构信息
Department of Health Systems, Management and Policy (Drs McManus and Lindrooth and Mr Richardson), Colorado School of Public Health, Aurora, Colorado; Department of Physical Medicine and Rehabilitation (Drs McManus and Rapport), University of Colorado, Aurora, Colorado.
出版信息
Pediatr Phys Ther. 2017 Jul;29(3):192-198. doi: 10.1097/PEP.0000000000000425.
STUDY PURPOSE
To examine therapy use and spending for Medicaid-enrolled infants and toddlers with developmental conditions.
METHODS
Sample infants and toddlers had a diagnosis (eg, cerebral palsy) or developmental delay (DD). Colorado Children's Medicaid administrative outpatient therapy claims (2006-2008) were used to estimate differences, by condition type and number of comorbid chronic conditions (CCCs), of any physical therapy (PT)/occupational therapy (OT) and Medicaid PT/OT spending.
RESULTS
The sample included 20 959 children. Children with at least 2 CCCs had higher odds of PT/OT than children with no CCC. Children with DD had 12-fold higher odds of having any PT/OT compared with children with diagnosis. Children with a DD and 2 CCCs had the highest PT/OT spending.
CONCLUSIONS
Medicaid PT/OT use and spending are higher for children with more CCCs and those with DD because children with DD receive more specialized PT/OT.
研究目的
调查参加医疗补助计划的患有发育障碍的婴幼儿的治疗使用情况及费用支出。
方法
抽样选取的婴幼儿患有某种诊断疾病（如脑瘫）或发育迟缓（DD）。利用科罗拉多儿童医疗补助计划的门诊治疗管理索赔数据（2006 - 2008年），按疾病类型和共患慢性病（CCC）数量，估算物理治疗（PT）/职业治疗（OT）的差异以及医疗补助计划的PT/OT费用支出。
结果
样本包括20959名儿童。患有至少2种CCC的儿童接受PT/OT治疗的几率高于无CCC的儿童。与患有确诊疾病的儿童相比，发育迟缓儿童接受任何PT/OT治疗的几率高出12倍。患有发育迟缓且有2种CCC的儿童PT/OT费用支出最高。
结论
患有更多CCC的儿童以及发育迟缓儿童的医疗补助计划PT/OT使用率和费用支出更高，因为发育迟缓儿童接受更专业的PT/OT治疗。
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