青少年自闭症和智力残疾患者的过渡时期医疗补助保险覆盖范围。
Transition-Age Medicaid Coverage for Adolescents With Autism and Adolescents With Intellectual Disability.
机构信息
Lindsay L. Shea and Robert Field, Drexel University; Ming Xie and Steven Marcus, University of Pennsylvania; Craig Newschaffer, Drexel University; and David Mandell, University of Pennsylvania.
出版信息
Am J Intellect Dev Disabil. 2019 Mar;124(2):174-185. doi: 10.1352/1944-7558-124.2.174.
Although the majority of adolescents with autism spectrum disorder (ASD) rely on healthcare coverage through Medicaid during their transition into adulthood, little is known about their continuing eligibility. This study used Medicaid Analytic Extract (MAX) data to examine Medicaid coverage in a national sample using a cohort of adolescents with ASD ( n = 4,179) and a like-aged cohort with intellectual disability (ID, n = 21,844) over 5 years using survival analysis and Cox regression models. More than 1 in 4 adolescents with ASD lost coverage and fewer than half subsequently regained it. They were more likely to disenroll than adolescents with ID. Similarities in overall patterns among the 2 groups suggest that the experience of adolescents with ASD was characteristic of more general aspects of behavioral health coverage and indicate the need for programmatic reforms.
尽管大多数自闭症谱系障碍（ASD）青少年在成年过渡期依赖医疗补助计划（Medicaid）获得医疗保健覆盖，但对于他们的持续资格情况知之甚少。本研究使用 Medicaid Analytic Extract（MAX）数据，通过生存分析和 Cox 回归模型，在全国样本中使用 ASD 青少年队列（n=4179）和智力残疾队列（n=21844）进行了 5 年的研究，调查了 Medicaid 覆盖范围。超过 1/4 的 ASD 青少年失去了覆盖范围，并且不到一半的人随后重新获得了覆盖范围。他们比患有 ID 的青少年更有可能退出。这两个群体之间的总体模式相似，表明 ASD 青少年的经历是行为健康覆盖更普遍方面的特征，并表明需要进行计划改革。
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