Understanding Racial and Ethnic Disparities in Autism-Related Service Use Among Medicaid-Enrolled Children.

Racial and ethnic disparities in the use of nine common autism-related services among Medicaid-enrolled children with autism spectrum disorder (ASD) were examined, distinguishing between school and other community-based outpatient settings. Using 2012 Medicaid Analytic Extract data, we identified 11...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 51; no. 9; pp. 3341 - 3356
Autores principales: Bilaver, Lucy A., Sobotka, Sarah A., Mandell, David S.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Understanding Racial and Ethnic Disparities in Autism-Related Service Use Among Medicaid-Enrolled Children.
      aug:
        au:
          Bilaver, Lucy A.
          Sobotka, Sarah A.
          Mandell, David S.
        affil: Department of Pediatrics, Northwestern University Feinberg School of Medicine, 633 N St. Clair, 20th floor, 60611, Chicago, IL, USA
      sug:
        subj:
          Racism
          Ethnic Groups
          Healthcare Disparities
          Autism Spectrum Disorder
          Health Resource Utilization
          Medicaid In Infancy and Childhood
          Human
          School Health Services
          African Americans
          Asians
          Native Americans
          Hispanic Americans
          Case Management
          Minority Groups
          Child
          Outpatient Service
          Child: 6-12 years
      ab: Racial and ethnic disparities in the use of nine common autism-related services among Medicaid-enrolled children with autism spectrum disorder (ASD) were examined, distinguishing between school and other community-based outpatient settings. Using 2012 Medicaid Analytic Extract data, we identified 117,848 continuously enrolled children with ASD. Several racial and ethnic disparities were found, varying by geography. Black, Asian, and Native American/Pacific Islanders received fewer outpatient services compared with white children, but there was no disparity for Latinx children. Black and Asian children received more school-based services than white children. Disparities in case management/care coordination services were largest and present in each minority group. Geographic variation in receipt of services suggests targets for policy intervention to improve access for minorities with ASD.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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