Health Services Utilization Among Children With and Without Autism Spectrum Disorders

Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and cou...

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Vydáno v:	Journal of autism and developmental disorders Ročník 46; číslo 3; s. 910 - 920
Hlavní autoři:	Cummings, Janet R., Lynch, Frances L., Rust, Kristal C., Coleman, Karen J., Madden, Jeanne M., Owen-Smith, Ashli A., Yau, Vincent M., Qian, Yinge, Pearson, Kathryn A., Crawford, Phillip M., Massolo, Maria L., Quinn, Virginia P., Croen, Lisa A.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	New York Springer US 01.03.2016 Springer Springer Nature B.V
Témata:	Access to Health Care Adolescent Adolescents Age Factors Autism Autism Spectrum Disorder - psychology Autistic children Behavioral Science and Psychology Care and treatment Case-Control Studies Child Child and School Psychology Child, Preschool Children Childrens health Comorbidity Demography Development and progression Disorders Emergency Medical Services - utilization Female Health Needs Health Services Health services utilization Health status Humans Immunization Immunization Programs Influenza Male Mental disorders Mental health Mental health services Mental Health Services - utilization Neurosciences Original Paper Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Pediatrics Pervasive Developmental Disorders Preventive Health Services - utilization Preventive medicine Primary Health Care - utilization Psychology Public Health Risk factors Service provision United States Use Studies Vaccines Youth United States Atlanta Georgia United States > US Georgia Autism spectrum disorders Preventive services Children Health care utilization Adolescents
ISSN:	0162-3257, 1573-3432, 1573-3432
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Shrnutí:	Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Ashli A. Owen-Smith is currently in the Department of Health Management and Policy at the Georgia State University School of Public Health, Atlanta, Georgia. Vincent M. Yau is currently with McKesson Corporation, San Francisco, California. Janet R. Cummings is in the Department of Health Policy and Management at the Emory University Rollins School of Public Health, Atlanta, Georgia. Frances L. Lynch, Kristal C. Rust, Kathryn A. Pearson, and Phillip M. Crawford are at the Center for Health Research/Northwest, Kaiser Permanente Northwest (KPNW), Portland, Oregon. Karen J. Coleman and Virginia P. Quinn are in the Department of Research & Evaluation, Kaiser Permanente Southern California (KPSC), Pasadena, CA. Jeanne M. Madden is in the School of Pharmacy at Northeastern University, Boston, Massachusetts and in the Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute (HPHCI), Boston, Massachusetts. Yinge Qian, Maria L. Massolo, and Lisa A. Croen are in the Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, California. At the time of the study, Ashli A. Owen-Smith was with the Center for Health Research/Southeast, Kaiser Permanente Georgia (KPGA), Atlanta, Georgia, and Vincent M. Yau was in the Division of Research, Kaiser Permanente Northern California (KPNC), Oakland, California.
ISSN:	0162-3257 1573-3432 1573-3432
DOI:	10.1007/s10803-015-2634-z