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The Transition to the Adult Health Care System Among Youths with Autism Spectrum Disorder
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Mar 15 2017
Source: Psychiatr Serv. 68(7):735-738.
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Alternative Title:Psychiatr Serv
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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 Clinformaticsâ„¢ 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.
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Pubmed ID:28292222
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Pubmed Central ID:PMC5567738
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