Department of Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, 321 S. Columbia Street, Chapel Hill, NC, 27599-7122, USA.
Massachusetts General Hospital Institute of Health Professions, Boston, MA, USA.
J Autism Dev Disord. 2019 Mar;49(3):1289-1297. doi: 10.1007/s10803-018-3826-0.
Regional differences in ASD inpatient care remain understudied. We used the Nationwide Inpatient Sample to examine contributory causes and potential determinants associated with regional variations in ASD hospitalizations. We performed univariate and multivariate analyses to identify differences in ASD hospitalizations across four U.S. Census Bureau-defined regions. Our results revealed considerable variations in ASD hospitalizations across U.S. regions. Compared with patients in the Northeast, those in the Midwest, South, and West were less likely to be hospitalized for ASD. Significant differences were observed among regions with regard to the effect of health insurance type, hospital length of stay, hospital bed size, hospital location and teaching status on ASD hospitalizations. The region-specific analysis provides direction for further investigation.
区域差异在 ASD 住院护理中仍未得到充分研究。我们使用全国住院样本，研究与 ASD 住院相关的区域差异的促成因素和潜在决定因素。我们进行了单变量和多变量分析，以确定美国人口普查局定义的四个地区的 ASD 住院情况的差异。我们的研究结果表明，美国地区的 ASD 住院情况存在较大差异。与东北地区的患者相比，中西部、南部和西部地区的 ASD 患者住院的可能性较低。不同地区在健康保险类型、住院时间、医院床位数、医院位置和教学状态对 ASD 住院的影响方面存在显著差异。区域特异性分析为进一步研究提供了方向。
