58290
document
Disparities in transition planning for youth with autism spectrum disorder . OBJECTIVE Little is known about accessibility to health care transition ( HCT ) services for youth with autism spectrum disorder ( ASD ) . This study expands our understanding by examining the receipt of HCT services in youth with ASD compared with youth with other special health care needs ( OSHCN ) . METHODS We used the 2005-2006 National Survey of Children with Special Health Care Needs to examine receipt of HCT services for youth ( aged 12-17 years ) with ASD and youth with OSHCN . Logistic regression analyses explored whether individual , family , or health system factors were associated with receipt of HCT services for youth with ASD . RESULTS Whereas half of youth with OSHCN received HCT services , less than a quarter of youth with ASD did . Only 14 % of youth with ASD had a discussion with their pediatrician about transitioning to an adult provider , less than a quarter had a discussion about health insurance retention , and just under half discussed adult health care needs or were encouraged to take on appropriate responsibility . Logistic regression analyses indicated that having a developmental disability or multiple health conditions in addition to ASD and quality of health care were strong predictors of HCT , whereas demographic and family variables accounted for little variance . CONCLUSIONS Youth with ASD experience disparities in access to HCT services . Youth with comorbid conditions are at greatest risk for poor access to HCT services and increased quality of care has a positive effect . Research is needed to understand barriers to care and develop policy and practice guidelines tailored for youth with ASD .
58291
Intervention_Educational
transition planning
58292
Intervention_Educational
health care transition ( HCT )
58293
Intervention_Educational
HCT services
58294
Intervention_Educational
HCT
58295
Intervention_Educational
HCT
58296
Outcome_Mental
HCT services
58297
Outcome_Mental
health insurance retention
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Outcome_Mental
adult health care needs or were encouraged to take on appropriate responsibility .
58299
Outcome_Mental
HCT
58300
Participant_Age
youth
58301
Participant_Condition
autism spectrum disorder
58302
Participant_Age
youth
58303
Participant_Condition
autism spectrum disorder ( ASD )
58304
Participant_Age
youth
58305
Participant_Condition
ASD
58306
Participant_Age
youth
58307
Participant_Condition
other special health care needs ( OSHCN )
58308
Participant_Condition
We used the 2005-2006 National Survey
58309
Participant_Condition
with Special Health Care Needs to examine receipt of HCT services
58310
Participant_Age
youth ( aged 12-17 years )
58311
Participant_Condition
ASD
58312
Participant_Condition
OSHCN
58313
Participant_Age
Youth
58314
Participant_Condition
ASD
58315
Participant_Condition
comorbid conditions
58316
Participant_Age
youth
58317
Participant_Condition
ASD