Healthcare utilization among children with early autism diagnoses, children with other developmental delays and a comparison group.

TitleHealthcare utilization among children with early autism diagnoses, children with other developmental delays and a comparison group.
Publication TypeJournal Article
Year of Publication2021
AuthorsHand BN, Miller JS, Guthrie W, Friedlaender EY
JournalJ Comp Eff Res
Date Published2021 May 26
ISSN2042-6313
Abstract

To describe healthcare utilization patterns among children with autism (n = 1821), and compare these patterns to children with other developmental delays (DD; n = 12,336) and a population comparison (PC; n = 18,210) cohort. Retrospective study of administrative billing data. Children with autism had roughly six-times more annual outpatient visits as PC children and twice as many as children with DD. Children with autism were more likely than PC children to use nearly all services, but comparisons between the autism and DD cohorts were mixed. Children with autism were more likely to have psychiatry/psychology visits, 'other' specialty care visits and psychotropic prescriptions, but less likely to have pediatric specialty care visits, immunizations and some prescriptions. Findings reveal opportunities to streamline, coordinate or improve care for young children with autism, particularly for outpatient services, and to give caregivers appropriate anticipatory guidance about what to expect after an autism diagnosis.

DOI10.2217/cer-2021-0056
Alternate JournalJ Comp Eff Res
PubMed ID34037425