New York State Department of Health, Albany, NY, USA.
Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Atten Disord. 2021 Feb;25(4):463-472. doi: 10.1177/1087054718816176. Epub 2018 Dec 14.
To identify children with ADHD enrolled in New York State (NYS) Medicaid and characterize ADHD-associated costs by treatment category. In 2013, 1.4 million children aged 2 to 17 years were enrolled in NYS Medicaid. Medicaid claims and encounters were used to identify children with ADHD, classify them by type of treatment received, and estimate associated costs. The ADHD cohort comprised 5.4% of all Medicaid-enrolled children, with 35.0% receiving medication only, 16.2% receiving psychological services only, 42.2% receiving both, and 6.6% receiving neither. The total costs for the ADHD cohort (US$729.3 million) accounted for 18.1% of the total costs for children enrolled in NYS Medicaid. This study underscores the importance of achieving a better understanding of children with ADHD enrolled in NYS Medicaid. A framework to categorize children with ADHD based on their treatment categories may help to target interventions to improve the quality of care and reduce costs.
为了确定在纽约州（NYS）医疗补助计划中注册的患有 ADHD 的儿童，并按治疗类别描述与 ADHD 相关的成本。2013 年，有 140 万名 2 至 17 岁的儿童在 NYS 医疗补助计划中注册。使用医疗补助索赔和就诊记录来识别患有 ADHD 的儿童，根据他们接受的治疗类型对他们进行分类，并估计相关成本。ADHD 队列占所有 Medicaid 注册儿童的 5.4%，其中 35.0%仅接受药物治疗，16.2%仅接受心理服务，42.2%同时接受两者，6.6%两者都不接受。ADHD 队列的总费用（7.293 亿美元）占 NYS 医疗补助计划中注册儿童总费用的 18.1%。这项研究强调了更好地了解在 NYS 医疗补助计划中注册的患有 ADHD 的儿童的重要性。根据治疗类别对患有 ADHD 的儿童进行分类的框架可能有助于确定干预措施，以提高护理质量并降低成本。
