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Autor/inn/enLiu, Guodong; Velott, Diana L.; Kong, Lan; Dick, Andrew W.; Mandell, David S.; Stein, Bradley D.; Murray, Michael J.; Ba, Djibril M.; Cidav, Zuleyha; Leslie, Douglas L.
TitelThe Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder
QuelleIn: Journal of Autism and Developmental Disorders, 52 (2022) 4, S.1587-1597 (11 Seiten)
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ZusatzinformationORCID (Liu, Guodong)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0162-3257
DOI10.1007/s10803-021-05060-2
SchlagwörterAutism; Pervasive Developmental Disorders; Community Services; Home Programs; Intellectual Disability; Hospitals; Access to Health Care; Program Effectiveness; Youth
AbstractUsing the 2008-2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8% for individuals on autism specific and intellectual and developmental disabilities (IDD) waivers respectively, vs. 28.5% for those without a waiver. Multivariable logistic regression showed that, compared to no waiver, autism specific waivers (adjusted odds ratio: 0.62; 95% Confidence Interval: [0.58-0.66]) and IDD waivers (0.65; [0.64-0.66]) were strongly associated with reduced ED. These findings suggest that HCBS waivers are effective in reducing the incidence of ED visits among youth with ASD. (As Provided).
AnmerkungenSpringer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2024/1/01
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