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Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison

Kate Tsiplova1, Wendy J Ungar2,3,4, Helen E Flanagan5

  • 1Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, 686 Bay Street, Toronto, ON, M5G 0A4, Canada.

Journal of Autism and Developmental Disorders
|April 3, 2019
PubMed

Insights

This study examined autism spectrum disorder (ASD) service costs in Canada, finding significant differences between New Brunswick and Nova Scotia. Variations in early intensive behavioral intervention (EIBI) delivery and diagnostics impact resource utilization and costs for families and the public sector.

Area of Science:

  • Health Economics
  • Pediatric Health
  • Public Health Policy

Background:

  • Autism spectrum disorder (ASD) necessitates significant resource utilization and incurs substantial costs.
  • Understanding service costs is crucial for effective resource allocation and policy development in pediatric healthcare.
  • Community-based services and early intervention models vary, potentially impacting cost-effectiveness.

Purpose of the Study:

  • To measure and compare resource utilization and costs for pre-school ASD-related services.
  • To analyze these costs from multiple payer perspectives (families, public sector, society).
  • To examine costs in the 12 months before and after initiating early intensive behavioral intervention (EIBI).

Main Methods:

  • Comparative analysis of service utilization and costs in Nova Scotia (NS) and New Brunswick (NB).
  • Inclusion of data from multiple payer perspectives.
  • Longitudinal measurement over a 12-month period surrounding the start of EIBI.

Main Results:

  • Significant differences in service utilization and costs were observed between NB and NS.
  • Variations in EIBI delivery models appear to influence these cost differences.
  • Diagnostic assessment practices may also contribute to the observed disparities.

Conclusions:

  • Provincial differences in EIBI delivery and diagnostics impact ASD service costs.
  • Study provides essential data for economic evaluations and policy-making.
  • Findings can inform strategies to improve outcomes for children with ASD through optimized resource allocation.

Keywords:
Autism spectrum disorderCostPreschool-aged childrenService use

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