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

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.
  
  
• Subjects:
  Adolescent Adult Ambulatory Care Article Autism Spectrum Disorder Cross-Sectional Studies Emergency Service, Hospital Female Humans Male Patient Acceptance Of Health Care Transition To Adult Care Young Adult

  More +
• Source:
  Psychiatr Serv. 68(7):735-738.
• Pubmed ID:
  28292222
• Pubmed Central ID:
  PMC5567738
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  68
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8366fe6df55766c7529bccc5848e7683c46f57374a8486be7372e8f96b6bfa61
• Download URL:
  https://stacks.cdc.gov/view/cdc/47726/cdc_47726_DS1.pdf
• File Type:
  [PDF - 293.02 KB ]