A Survey of Out-of-Pocket Expenditures for Children with Autism Spectrum Disorder in Israel

被引：17

作者：

Raz, Raanan ^{[1
,2
,3
]}

Lerner-Geva, Liat ^{[1
,4
]}

Leon, Odelia ^{[5
]}

Chodick, Gabriel ^{[1
,2
]}

Gabis, Lidia V. ^{[5
,6
]}

机构：

[1] Tel Aviv Univ, Sch Publ Hlth, IL-69978 Tel Aviv, Israel

[2] Maccabi Healthcare Serv, Tel Aviv, Israel

[3] Harvard Univ, Sch Publ Hlth, Landmark Ctr, Boston, MA 02215 USA

[4] Gertner Inst, Women & Children Hlth Res Unit, Tel Hashomer, Israel

[5] Edmond & Lily Safra Childrens Hosp, Chaim Sheba Med Ctr, Weinberg Child Dev Ctr, Tel Hashomer, Israel

[6] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2013年 / 43卷 / 10期

关键词：

Pervasive developmental disorders; Autism spectrum disorders; Health services; Out-of-pocket costs; HEALTH-CARE EXPENDITURES; UNITED-STATES; MEDICAID; SERVICE; ACCESS;

D O I：

10.1007/s10803-013-1782-2

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

We describe a survey of children with ASD aged 4-10 years. The main dependent variables were out-of-pocket expenditures for health services and hours of therapy. Multivariable logistic regression models were used in order to find independent predictors for service utilization. Parents of 178 of the children (87 %) agreed to participate. The average annual out-of-pocket cost was $8,288, with a median of $4,473 and a range of $0-89,754. Higher severity of ASD and a parent with an academic degree were associated with higher expenditure. Having at least one older sibling, siblings without developmental disorders, regular education setting, lower parent education and low income were associated with lower expenditure.

引用

页码：2295 / 2302

页数：8

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