Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood.
Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 49; no. 5; pp. 2173 - 2184 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2019
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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=136098437&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136098437 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: May2019 vid: 49 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136098437 136098437 136098437 10.1007/s10803-019-03896-3 136098437 ppf: 2173 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood. aug: au: Yingling, Marissa E. Bell, Bethany A. Hock, Robert M. affil: Kent School of Social Work, University of Louisville, 2217 S 3rd St, Julius John Oppenheimer Hall, Louisville, KY, USA sug: subj: Health Resource Utilization In Infancy and Childhood Autism Spectrum Disorder Race Factors Residence Characteristics Human Medicaid Early Intervention Ethnic Groups Socioeconomic Factors Insurance Coverage Child Child: 6-12 years ab: Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children enrolled in an EIBI Medicaid waiver (N = 730) to identify and describe the type and prevalence of treatment utilization trajectories, and to examine the association between trajectory types and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We identified four utilization trajectories (Low, Low-Moderate, Moderate, and High users). Race-ethnicity and neighborhood affluence were associated with trajectory membership. As coverage expands, policy makers should consider strategies to improve overall treatment utilization and enhance equity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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