美国儿童中自闭症和医疗复杂性
Philip H Smith1, Lindsay L Shea1, Jessica E Rast1
1A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania.
Pediatrics
|February 2, 2025
概括
许多自闭症儿童也有复杂的医疗需求,导致医疗费用增加. 服务和研究往往忽视了这一显著的重叠,影响了对这些孩子的照顾.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 自闭症谱系障碍流行病学
- 儿童健康政策 儿童健康政策
背景情况:
- 患有医疗复杂性 (CMC) 的儿童和自闭症儿童面临着不断扩大的,但往往是单独的服务系统.
- 在CMC和自闭症之间存在显著的重叠,但它们在政策和研究中被独立处理.
- 了解这种并发症对于有效的医疗保健服务至关重要.
研究的目的:
- 估计美国儿童中重叠的医疗复杂性和自闭症的患病率.
- 为了比较医疗复杂性的自闭症儿童的医疗保健支出与其他群体.
- 强调在服务,研究和政策方面需要采用综合方法.
主要方法:
- 分析了两个国家横截面调查:国家儿童健康调查 (NSCH) 和医疗支出小组调查 (MEPS).
- 在多个调查年中包括0-17岁儿童 (NSCH: 2017-2022;MEPS: 2010-2021).
- 使用两种不同严格度的算法来定义CMC.
主要成果:
- 在2021-2022年NSCH中,59.3%的自闭症儿童符合CMC标准 (或17.6%的严格算法).
- 41%的CMC被确定为自闭症.
- 自闭症CMC的医疗保健支出中位数明显高于其他CMC或自闭症儿童.
结论:
- 美国儿童的医疗复杂性和自闭症之间存在大量的重叠.
- 综合条件导致医疗保健支出大幅增加.
- 目前在服务,研究和政策方面的分散方法必须不断发展,以满足这些儿童及其家庭的综合需求.
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