Brief Report: Medicaid Expansion and Growth in the Workforce for Autism Spectrum Disorder.
Autism
Autism spectrum disorder
Child psychiatrists
Medicaid expansion
Workforce
Journal
Journal of autism and developmental disorders
ISSN: 1573-3432
Titre abrégé: J Autism Dev Disord
Pays: United States
ID NLM: 7904301
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
accepted:
21
04
2021
pubmed:
21
5
2021
medline:
24
3
2022
entrez:
20
5
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 34014465
doi: 10.1007/s10803-021-05044-2
pii: 10.1007/s10803-021-05044-2
pmc: PMC8605030
mid: NIHMS1697967
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1881-1889Subventions
Organisme : AHRQ HHS
ID : R01 HS025750
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH112760
Pays : United States
Organisme : NIMH NIH HHS
ID : R01MH112760
Pays : United States
Organisme : Agency for Healthcare Research and Quality
ID : R01HS025750
Organisme : NIMH NIH HHS
ID : R01MH112760
Pays : United States
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
J Dev Behav Pediatr. 2016 Nov/Dec;37(9):687-693
pubmed: 27801720
J Autism Dev Disord. 2010 Mar;40(3):317-24
pubmed: 19768528
JAMA Intern Med. 2019 Jun 1;179(6):805-811
pubmed: 31058922
Psychiatr Serv. 2017 Jan 1;68(1):9-16
pubmed: 27476805
BMJ. 2015 Jun 09;350:h2750
pubmed: 26058820
Health Aff (Millwood). 2017 Feb 1;36(2):282-288
pubmed: 28167717
Matern Child Health J. 2015 Aug;19(8):1766-74
pubmed: 25874876
Pediatrics. 2018 Mar;141(3):
pubmed: 29453235
Health Serv Res. 2003 Oct;38(5):1283-301
pubmed: 14596391
JAMA Pediatr. 2015 Jan;169(1):e143145
pubmed: 25561041
Annu Rev Public Health. 2018 Apr 1;39:453-469
pubmed: 29328877
Health Aff (Millwood). 2016 Jun 1;35(6):983-90
pubmed: 27269013
Health Aff (Millwood). 2013 Nov;32(11):2005-12
pubmed: 24191093
BMC Health Serv Res. 2009 May 29;9:86
pubmed: 19480656
Autism. 2021 May;25(4):921-931
pubmed: 33274642
J Am Acad Child Adolesc Psychiatry. 2020 Jan;59(1):113-139
pubmed: 31150751
Behav Anal Pract. 2016 Jun 9;9(4):339-348
pubmed: 27920965
N Engl J Med. 2014 Aug 28;371(9):792-3
pubmed: 25075619
JAMA Psychiatry. 2017 May 1;74(5):476-484
pubmed: 28384733
Health Aff (Millwood). 2018 Jan;37(1):22-29
pubmed: 29309229
Pediatrics. 2019 Dec;144(6):
pubmed: 31685696
Health Aff (Millwood). 2017 Oct 1;36(10):1754-1761
pubmed: 28971920
Pediatrics. 2020 Oct;146(4):
pubmed: 32900876
Inquiry. 2019 Jan-Dec;56:46958019873807
pubmed: 31526201
Pediatrics. 2018 Jan;141(1):
pubmed: 29273623
J Gen Intern Med. 2014 Nov;29(11):1546-51
pubmed: 24733299
Health Aff (Millwood). 2016 Jan;35(1):111-8
pubmed: 26733708
J Oncol Pract. 2014 Jan;10(1):39-45
pubmed: 24443733
Health Aff (Millwood). 2017 Sep 1;36(9):1643-1651
pubmed: 28874493