Systematic review of disparities in health care for individuals with autism spectrum disorders in the United States

• Published in: Research in autism spectrum disorders Vol. 6; no. 3; pp. 1023 - 1031
• Main Authors: Tregnago, Megan K., Cheak-Zamora, Nancy C.
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.07.2012; Elsevier
• Subjects: Accessibility; Autism; Child Health; Children; Comparative Analysis; Costs; Disparities; Health Care Costs; Health care utilization; Health Insurance; Health Services; Medical home; Pervasive Developmental Disorders; United States; United States; Autism; Health care costs; Disparities; Accessibility; Health care utilization; Medical home
• ISSN: 1750-9467; 1878-0237
• DOI: 10.1016/j.rasd.2012.01.005

► Review 13 articles on health care utilization, costs, and access. ► Explore whether health care disparities exist between children with and without ASD. ► Children with ASD generally have higher health care utilization rates and costs. ► Children with ASD generally have worse access to care and medical homes. Authors conducted a systematic review of the literature to determine whether differences exist for children with ASD versus children without ASD in the utilization, accessibility, and cost of their health care services. Population and outcome variables of interest were used to search for articles in Medline and PsycInfo databases. Thirteen studies comparing ASD and other groups of children without ASD were reviewed. A review of these publications revealed that children with ASD have higher health care utilization and costs, and worse access to care and medical homes. These results have implications for autism research and insurance policy to reduce health care utilization and costs, and ensure proper insurance coverage.