Literaturnachweis - Detailanzeige
Autor/inn/en | Liu, 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. |
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Titel | The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder |
Quelle | In: Journal of Autism and Developmental Disorders, 52 (2022) 4, S.1587-1597 (11 Seiten)
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Zusatzinformation | ORCID (Liu, Guodong) |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 0162-3257 |
DOI | 10.1007/s10803-021-05060-2 |
Schlagwörter | Autism; Pervasive Developmental Disorders; Community Services; Home Programs; Intellectual Disability; Hospitals; Access to Health Care; Program Effectiveness; Youth |
Abstract | Using 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). |
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Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2024/1/01 |