Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder

被引：7

作者：

McBain, Ryan K. ^{[1
]}

Cantor, Jonathan H. ^{[2
]}

Kofner, Aaron ^{[3
]}

Stein, Bradley D. ^{[4
]}

Yu, Hao ^{[5
,6
]}

机构：

[1] RAND Corp, 20 Pk Plz, Boston, MA 02116 USA

[2] RAND Corp, Santa Monica, CA USA

[3] RAND Corp, Arlington, VA USA

[4] RAND Corp, Pittsburgh, PA USA

[5] Harvard Med Sch, Dept Populat Med, Boston, MA 02115 USA

[6] Harvard Pilgrim Hlth Care Inst, Boston, MA USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2022年 / 52卷 / 04期

基金：

美国医疗保健研究与质量局;

关键词：

Autism spectrum disorder; Autism; Medicaid expansion; Workforce; Child psychiatrists; MENTAL-HEALTH; CHILDREN; PARENTS; INSURANCE; COVERAGE; ADULTS; CARE;

D O I：

10.1007/s10803-021-05044-2

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Over 700,000 children throughout the U.S. have received insurance coverage through welcome mat effects of Medicaid expansion, including children with autism spectrum disorder (ASD). Utilizing health workforce data from the Health Resources and Services Administration, we examined workforce growth (2008-2017) among three types of health providers for children with ASD as a result of Medicaid expansion: child psychiatrists, board-certified behavioral analysts (BCBAs) and pediatricians. We found that state Medicaid expansion was associated with a 9% increase in BCBAs per 100,000 children one year after enactment, a 5% increase in child psychiatrists, and was not associated with growth in pediatricians. Results indicate the importance of new policies that directly address a shortage of providers for children with ASD.

引用

页码：1881 / 1889

页数：9

共 45 条

[1] Association Between State Laws Facilitating Pharmacy Distribution of Naloxone and Risk of Fatal Overdose [J].