Parent-Reported Health Consequences and Relationship to Expenditures in Children with ADHD

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• 作者：Neal A. deJong ; Christianna S. Williams…
• 关键词：Attention deficit hyperactivity disorder (ADHD) ; Medical Expenditure Panel Survey (MEPS) ; Children with Special Health Care Needs (CSHCN) ; CSHCN Screener
• 刊名：Maternal and Child Health Journal
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：20
• 期：4
• 页码：915-924
• 全文大小：868 KB
• 参考文献：1.Bethell, C. D., Blumberg, S. J., Stein, R. E., Strickland, B., Robertson, J., & Newacheck, P. W. (2014). Taking stock of the CSHCN screener: A review of common questions and current reflections. Academic Pediatric,. doi:10.​1016/​j.​acap.​2014.​10.​003 .
  2.Bethell, C. D., Read, D., Stein, R. E., Blumberg, S. J., Wells, N., & Newacheck, P. W. (2002). Identifying children with special health care needs: development and evaluation of a short screening instrument. Ambulatory Pediatrics, 2(1), 38–48.CrossRef PubMed
  3.Biederman, J., Faraone, S., Milberger, S., Curtis, S., Chen, L., Marrs, A., & Spencer, T. (1996). Predictors of persistence and remission of ADHD into adolescence: results from a four-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 35(3), 343–351. doi:10.​1097/​00004583-199603000-00016 .CrossRef PubMed
  4.Bramlett, M. D., Read, D., Bethell, C., & Blumberg, S. J. (2009). Differentiating subgroups of children with special health care needs by health status and complexity of health care needs. Maternal and Child Health Journal, 13(2), 151–163. doi:10.​1007/​s10995-008-0339-z .CrossRef PubMed
  5.Brown, R. T., Freeman, W. S., Perrin, J. M., Stein, M. T., Amler, R. W., Feldman, H. M., & Wolraich, M. L. (2001). Prevalence and assessment of attention-deficit/hyperactivity disorder in primary care settings. Pediatrics, 107(3), E43.CrossRef PubMed
  6.CAHMI. (2014). Using the CSHCN Screener. Retrieved November 20, 2014, from http://​www.​cahmi.​org/​wp-content/​uploads/​2014/​06/​CSHCNS-usingcshcnscreen​er.​pdf
  7.Chan, E., Zhan, C., & Homer, C. J. (2002). Health care use and costs for children with attention-deficit/hyperactivity disorder: national estimates from the medical expenditure panel survey. Archives of Pediatrics and Adolescent Medicine, 156(5), 504–511.CrossRef PubMed
  8.Cohen, J. W. (1997). Design and methods of the Medical Expenditure Panel Survey, household component. US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research.
  9.Duan, N. (1983). Smearing estimate: a nonparametric retransformation method. Journal of the American Statistical Association, 78(383), 605–610.CrossRef
  10.Epstein, J. N., Kelleher, K. J., Baum, R., Brinkman, W. B., Peugh, J., Gardner, W., & Langberg, J. (2014). Variability in ADHD care in community-based pediatrics. Pediatrics, 134(6), 1136–1143. doi:10.​1542/​peds.​2014-1500 .CrossRef PubMed PubMedCentral
  11.Ezzati-Rice, T. M., Rohde, F., & Greenblatt, J. (2008). Sample design of the Medical Expenditure Panel Survey household component, 1998–2007. US Department of Health and Human Services, Agency for Healthcare Research and Quality.
  12.Gelberg, L., Andersen, R. M., & Leake, B. D. (2000). The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Services Research, 34(6), 1273–1302.PubMed PubMedCentral
  13.Guevara, J., Lozano, P., Wickizer, T., Mell, L., & Gephart, H. (2001). Utilization and cost of health care services for children with attention-deficit/hyperactivity disorder. Pediatrics, 108(1), 71–78.CrossRef PubMed
  14.Kessler, R. C., Adler, L. A., Barkley, R., Biederman, J., Conners, C. K., Faraone, S. V., et al. (2005). Patterns and predictors of attention-deficit/hyperactivity disorder persistence into adulthood: results from the national comorbidity survey replication. Biological Psychiatry, 57(11), 1442–1451. doi:10.​1016/​j.​biopsych.​2005.​04.​001 .CrossRef PubMed PubMedCentral
  15.Kolko, D. J., Campo, J., Kilbourne, A. M., Hart, J., Sakolsky, D., & Wisniewski, S. (2014). Collaborative care outcomes for pediatric behavioral health problems: a cluster randomized trial. Pediatrics, 133(4), e981–e992. doi:10.​1542/​peds.​2013-2516 .CrossRef PubMed PubMedCentral
  16.Kuo, D. Z., Melguizo-Castro, M., Goudie, A., Nick, T. G., Robbins, J. M., & Casey, P. H. (2014). Variation in child health care utilization by medical complexity. Maternal and Child Health Journal,. doi:10.​1007/​s10995-014-1493-0 .
  17.Leibson, C. L., Katusic, S. K., Barbaresi, W. J., Ransom, J., & O’Brien, P. C. (2001). Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA, 285(1), 60–66.CrossRef PubMed
  18.Machlin, S. R., & Dougherty, D. D. (2007). Overview of methodology for imputing missing expenditure data in the Medical Expenditure Panel Survey. US Department of Health and Human Services, Agency for Healthcare Research and Quality.
  19.McPherson, M., Arango, P., Fox, H., Lauver, C., McManus, M., Newacheck, P. W., et al. (1998). A new definition of children with special health care needs. Pediatrics, 102(1 Pt 1), 137–140.CrossRef PubMed
  20.MEPS HC144A Codebook: 2011 Prescribed Medicines. http://​meps.​ahrq.​gov/​mepsweb/​data_​stats/​download_​data/​pufs/​h144a/​h144acb.​pdf
  21.Ray, G. T., Levine, P., Croen, L. A., Bokhari, F. A., Hu, T. W., & Habel, L. A. (2006). Attention-deficit/hyperactivity disorder in children: excess costs before and after initial diagnosis and treatment cost differences by ethnicity. Archives of Pediatrics and Adolescent Medicine, 160(10), 1063–1069. doi:10.​1001/​archpedi.​160.​10.​1063 .CrossRef PubMed
  22.Szatmari, P., Offord, D. R., & Boyle, M. H. (1989). Correlates, associated impairments and patterns of service utilization of children with attention deficit disorder: findings from the Ontario Child Health Study. Journal of Child Psychology and Psychiatry, 30(2), 205–217.CrossRef PubMed
  23.Visser, S. N., Danielson, M. L., Bitsko, R. H., Holbrook, J. R., Kogan, M. D., Ghandour, R. M., et al. (2014). Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003–2011. J Am Acad Child Adolesc Psychiatry, 53(1), 34–46. doi:10.​1016/​j.​jaac.​2013.​09.​001 .CrossRef PubMed PubMedCentral
  24.Wolraich, M., Brown, L., Brown, R. T., DuPaul, G., Earls, M., Feldman, H. M., & Visser, S. (2011). ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128(5), 1007–1022. doi:10.​1542/​peds.​2011-2654 .CrossRef PubMed
  25.Wolraich, M. L., Lambert, W., Doffing, M. A., Bickman, L., Simmons, T., & Worley, K. (2003). Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referred population. Journal of Pediatric Psychology, 28(8), 559–567.CrossRef PubMed
  
• 作者单位：Neal A. deJong (1)
  Christianna S. Williams (2)
  Kathleen C. Thomas (2)
  
  1. Division of General Pediatrics and Adolescent Medicine, UNC-Chapel Hill School of Medicine, 260 MacNider Building, CB #7220, Chapel Hill, NC, 27599-7220, USA
  2. Cecil G. Sheps Center for Health Services Research, UNC-Chapel Hill, CB #7590, 725 Martin Luther King, Jr. Blvd., Chapel Hill, NC, 27599-7590, USA
  
• 刊物主题：Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
• 出版者：Springer US
• ISSN：1573-6628

文摘

Objectives (1) To describe parents’ report of special needs for children with ADHD on the Children with Special Health Care Needs (CSHCN) Screener; and (2) to assess the association between responses to Screener items and annual mental health and total health expenditures per child. Methods In pooled 2002–2011 Medical Expenditure Panel Survey (MEPS) data, we identify children ages 4–17 years with ADHD. We use OLS and two-part regressions to model the relationship between CSHCN Screener items and mental health and total health expenditures. Based on these models we estimate adjusted, average total health expenditures for children with ADHD—both with and without a co-morbid mental health condition—and different combinations of endorsed Screener items. This research was conducted in accordance with prevailing ethical principles. Results There were 3883 observations on 2591 children with ADHD. Without a co-morbid mental health condition, average total expenditures per year from adjusted, model-based estimates were $865 for those meeting no Screener items, $2664 for those meeting only the medication item, $3595 for those meeting the medication and counseling items, and $4203 for those meeting the medication, counseling, and use of more health services items. Children with a co-morbid mental health condition had greater total health expenditures for each combination of Screener items. The associations between Screener items and mental health expenditures were similar, but with a slightly lower marginal effect of the medication item (p < 0.001 for all comparisons). Conclusions Parents’ responses on the CSHCN Screener are associated with meaningful variation in expenditures for children with ADHD. Though cross-sectional, this study suggests that the CSHCN Screener can be a useful categorization scheme for children with ADHD. It may be an efficient, standardized tool at the point of care for identifying children who need more resources and for targeting intensive interventions in the context of population health management.