Prescription Drug Use and Cost Trends Among Medicaid-Enrolled Children with Disruptive Behavioral Disorders.
Disruptive behavior disorders (DBDs) are the most common mental health conditions in children. These conditions profoundly affect healthcare utilization and costs. Service use, costs, and diagnostic trends among pediatric Medicaid beneficiaries provide information regarding healthcare quality and po...
| Publicado en: | Journal of Behavioral Health Services & Research Vol. 45; no. 4; pp. 550 - 565 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Oct2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132187567&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132187567 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10943412 2WS jtl: Journal of Behavioral Health Services & Research issn: 10943412 maglogo: N pubinfo: dt: Oct2018 vid: 45 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132187567 132187567 NLM29572707 132187567 10.1007/s11414-018-9605-z NLM29572707 132187567 ppf: 550 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Prescription Drug Use and Cost Trends Among Medicaid-Enrolled Children with Disruptive Behavioral Disorders. aug: au: Zhao, Lirong Cross-Barnet, Caitlin McClair, Vetisha L. affil: Research and Rapid-Cycle Evaluation Group, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, 7500 Security Blvd., Mail Stop: WB-06-05, 21244, Baltimore, MD, USA sug: subj: Medicaid Economics Antipsychotic Agents Therapeutic Use Drug Utilization Statistics and Numerical Data Mental Disorders Diagnosed in Childhood Drug Therapy Antipsychotic Agents Economics Child, Preschool Drugs, Prescription Therapeutic Use Drugs, Prescription Economics Human Young Adult Adolescence Child Ethnic Groups Female Demography Male Retrospective Design Adult Mental Disorders Diagnosed in Childhood Diagnosis Medicaid Statistics and Numerical Data United States Infant Validation Studies Comparative Studies Evaluation Research Multicenter Studies Child, Preschool: 2-5 years Adolescent: 13-18 years Child: 6-12 years Adult: 19-44 years Infant: 1-23 months Female Male ab: Disruptive behavior disorders (DBDs) are the most common mental health conditions in children. These conditions profoundly affect healthcare utilization and costs. Service use, costs, and diagnostic trends among pediatric Medicaid beneficiaries provide information regarding healthcare quality and potential for smarter spending. Using nationwide Medicaid administrative data, this study investigates diagnoses, prescription drug fills, and payments in 49 states and D.C. from 2006 to 2009 in Medicaid beneficiaries age 20 and under. Psychotherapeutic drug prescriptions and payments were calculated as a proportion of prescription totals. Results were considered by age, gender, race, and state. The results show a trend of increasing DBD diagnosis. Among prescription claims for children with diagnosed DBD, psychotherapeutic drug claims represented 30-40% of prescription claims but over half of prescription costs. This study indicates increasing clinical and financial needs for Medicaid-enrolled children with DBDs. Medicaid could potentially foster reforms in pediatric DBD treatments, particularly regarding medication use. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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