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http://dx.doi.org/10.14400/JDC.2018.16.11.411

Trend Analysis of Medical Care Utilization among People with Autistic Spectrum Disorder Using National Health Insurance Data  

Yun, Jieun (Department of Pharmaceutical Engineering, Cheongju University)
Kim, Hyun Joo (Department of Nursing Science, Shinsung University)
Publication Information
Journal of Digital Convergence / v.16, no.11, 2018 , pp. 411-418 More about this Journal
Abstract
The purpose of this study was to estimate the current status and trends of healthcare utilization among people with ASD. Using National Health Insurance open database, from 2010 to 2017. We analyzed the treatment prevalence for people with ASD, the pattern of healthcare utilization, the difference in medical care utilization according to age, and the type and location of main medical institutions. The main results of the study are as follows: First, the medical utilization has been continuously increasing from 2010 to 2017. The total amount of medical utilization is increased by 50% in 2017 compared to 2010, and the treatment prevalence was estimated to be 79.1% in 2017 and medical uses for the next three years is also increasing. Second, the pattern of medical care utilization varied widely according to age, especially after 20 years of age. Third, the types of medical institutions that were mainly used were 45.6% in the medical clinic and 35.9% in Seoul. The results of this study can be used as a minimum reference point of evaluating the effectiveness of government policy on future autistic disorders. However, further studies are required to increase the prevalence of treatment for autistic patients and to find out the difference in medical use according to age.
Keywords
Autistic Spectrum Disorder; Trend Analysis; Prevalence; Medical Care Utilization; Geographical allocation;
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1 J. H. Yun & H. S. Yoon. (2018). Research Trends and Considerations in The Clinical Use of Robots for Children with Autism Spectrum Disorders. Journal of the Korea Convergence Society, 9(3), 153-163.   DOI
2 E. Y. Cho, H. M. Kim, D. H. Song & K. A. Cheon. (2017). The Analysis of K-WISC-IV Profiles in Children with High-Functioning Autism Spectrum Disorder. Journal of the Korea Convergence Society, 8(7), 341-348.   DOI
3 M. Fakhoury. (2015). Autistic spectrum disorders: A review of clinical features, theories and diagnosis. International Journal of Developmental Neuroscience, 43, 70-77. DOI: 10.1016/j.ijdevneu.2015.04.003   DOI
4 D. L. Leslie et al. (2017). Medicaid waivers targeting children with autism spectrum disorder reduce the need for parents to stop working.. Health Affairs, 36(2), 282-288. DOI: 10.1377/hlthaff.2016.1136   DOI
5 H. G. Yeo. (2017. 9. 7). "Please let me build a school" Gangseo-gu residents who insult parents of children with disabilities kneeling down, News of JoongAng Ilbo.(Online). https://news.joins.com/article/21915919
6 Autism Speaks. (2018), What Is Autism?, https://www.autismspeaks.org/what-autism.
7 Y. S. Jung. (2017. 9. 7). Parents kneeling for permission to establish a school for disabled students "Do not show!" An inhabitant, News of SBS https://news.sbs.co.kr/news/endPage.do?news_id=N1004 384095
8 Ministry of Health and Welfare (2018), Announcement of comprehensive plans for lifelong care for people with developmental disabilities, http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_M ENU_ID=04&MENU_ID=0403&CONT_SEQ=346056&page=1
9 Centers for Disease Control and Prevention, (2018). Autism spectrum disorder (ASD): data & statistics, http://www.cdc.gov/ncbddd/autism/data.html.
10 A. J. Baxter, T. S. Brugha, H. E. Erskine, R. W. Scheurer, T. Vos & J. G. Scott, (2015). The epidemiology and global burden of autism spectrum disorders. Psychological medicine, 45(3), 601-613. DOI: 10.1017/S003329171400172X   DOI
11 R. Perou et al. (2013). Mental health surveillance among children-United States, 2005-2011. MMWR Surveill Summ, 62(2), 1-35.
12 M. S. Kim, N. G, Lim, H. J. Kim, C. Kim & J. Y. Lee. (2017). Pediatric Deaths Attributed to Complex Chronic Conditions over 10 Years in Korea: Evidence for the Need to Provide Pediatric Palliative Care. Journal of Korean medical science, 33(1). DOI: 10.3346/jkms.2018.33.e1
13 Y. S. Kim et al. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry, 168(9), 904-912. DOI: 10.1176/appi.ajp.2011.10101532   DOI
14 P. C. Pantelis & D. P. Kennedy. (2016). Estimation of the prevalence of autism spectrum disorder in South Korea, revisited. Autism, 20(5), 517-527. DOI: 10.1177/1362361315592378   DOI
15 M. Elsabbagh et al. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism research, 5(3), 160-179. DOI: 10.1002/aur.239   DOI
16 A. J. Baxter, T. S. Brugha, H. E. Erskine, R. W. Scheurer, T. Vos & J. G. Scott. (2015). The epidemiology and global burden of autism spectrum disorders. Psychological medicine, 45(3), 601-613. DOI: 10.1017/S003329171400172X   DOI
17 Y. Kim et al. (2013). A New Disability-related Health Care Needs Assessment Tool for Persons With Brain Disorders. Journal of Preventive Medicine and Public Health, 46(5), 282-290. DOI: 10.3961/jpmph.2013.46.5.282   DOI
18 A. Ghanizadeh, M. J. Alishahi & H. Ashkani. (2009). Helping families for caring children with autistic spectrum disorders. Archives of Iranian Medicine. 12(5), 478-82.
19 B. Barrett et al. (2015). Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development. Autism, 19(5), 562-569. DOI: 10.1177/1362361314536626   DOI
20 J. S. Karst & A. V. Van Hecke. (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clinical child and family psychology review, 15(3), 247-277. DOI: 10.1007/s10567-012-0119-6   DOI
21 Health Insurance & Assesment service. (2018). Healthcare Bigdata Hub, http://opendata.hira.or.kr/home.do
22 A. V. Buescher, Z. Cidav, M. Knapp & D. S. Mandell. (2014). Costs of autism spectrum disorders in the United Kingdom and the United States. JAMA pediatrics, 168(8), 721-728. DOI: 10.1001/jamapediatrics.2014.210   DOI
23 F. Yaylaci & S. Mira. (2017). A comparison of DSM-IV-TR and DSM-5 diagnostic classifications in the clinical diagnosis of autistic spectrum disorder. Journal of autism and developmental disorders, 47(1), 101-109. DOI: 10.1007/s10803-016-2937-8   DOI
24 World Health Organization: International Statistical Classification of Diseases and Related Health Problems, 10th Revision. (1992). Geneva: World Health Organization.
25 A. Vanasse, J. Courteau, M. J. Fleury, J. P. Gregoire, A. Lesage & J. Moisan. (2012). Treatment prevalence and incidence of schizophrenia in Quebec using a population health services perspective: different algorithms, different estimates. Social psychiatry and psychiatric epidemiology, 47(4), 533-543. DOI: 10.1007/s00127-011-0371-y   DOI
26 J. Guan & G. Li. (2017). Injury mortality in individuals with autism. American journal of public health, 107(5), 791-793. DOI: 10.2105/AJPH.2017.303696   DOI