The Transition to the Adult Health Care System Among Youths with Autism Spectrum Disorder

Nathenson, Robert A.; Zablotsky, Benjamin

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The Transition to the Adult Health Care System Among Youths with Autism Spectrum Disorder

Published Date:

Mar 15 2017

Source:

Psychiatr Serv. 68(7):735-738.

Language:

English

[PDF-293.02 KB]

Details:

Alternative Title:

Psychiatr Serv

Personal Author:

Nathenson, Robert A. ; Zablotsky, Benjamin ;

Description:

Objective The study examines how healthcare utilization patterns change as youths diagnosed with autism spectrum disorder (ASD) transition into the adult healthcare system. Methods Data come from the Clinformatics™ Data Mart Database, a nationally diverse, clinically rich, private insurance claims database. The analytic sample consists of youths 16-23 diagnosed with ASD (N=16,338). Cross-sectional multivariate linear regressions determine if service usage differs by age across the home, office/outpatient, inpatient, and emergency department (ED) settings. Results The proportion of youths with ASD who receive services declines with age in each setting other than the ED. A similar reduction exists in the total number of visits in the office/outpatient and inpatient settings, while home and ED visits remain stable. Youths with co-occurring intellectual disability experience a faster decline in service utilization. Conclusions There is a notable decline in service utilization across multiple settings as youths with ASD transition from pediatric to adult healthcare.

Subject:

[+]

Pubmed ID:

28292222

Pubmed Central ID:

PMC5567738

Document Type:

Journal Article

Funding:

CC999999/Intramural CDC HHS/United States

Collection(s):

CDC Public Access

Main Document Checksum:

[+]

Supporting Files:

	NIHMS893850-supplement-Online_Tables.docx	application/vnd.openxmlformats-officedocument.wordprocessingml.document
	nihms893850.nxml	text/xml

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