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Exploring the Impact of Insurance Gaps on Healthcare Burden for Autistic Children
Wanqing Zhang1, Stephanie Reszka2, Khalilah R Johnson3
1Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, 321 S. Columbia Street, Chapel Hill, NC, 27599-7122, USA. wanqing_zhang@med.unc.edu.
Journal of Autism and Developmental Disorders
|July 18, 2025
Summary
Health insurance gaps negatively impact healthcare satisfaction and increase out-of-pocket costs for autistic children. Addressing these gaps is crucial for improving access and affordability in pediatric autism care.
Area of Science:
- Pediatric Health Services Research
- Health Economics
- Autism Spectrum Disorder Research
Background:
- Health insurance gaps can affect healthcare access and financial burden for families.
- Understanding these impacts is vital for vulnerable populations like autistic children.
Purpose of the Study:
- To investigate the association between health insurance gaps and healthcare experience ratings.
- To examine the relationship between insurance gaps and out-of-pocket medical expenses for autistic children in the U.S.
Main Methods:
- Utilized secondary data from the 2010-2021 Medical Expenditure Panel Survey.
- Conducted multivariable regression analyses to assess key outcomes related to insurance status.
Main Results:
- Autistic children with insurance gaps reported significantly lower healthcare satisfaction (-0.153, p < .0001).
- Children experiencing insurance gaps had a significantly higher proportion of self-paid medical expenses (0.092, p < .0001).
Conclusions:
- Health insurance gaps significantly diminish perceived healthcare quality and increase financial strain on families with autistic children.
- Policy interventions are needed to improve healthcare access and affordability for this population.
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