Outpatient rehabilitation utilization and medical expenses in children aged 0-7years with ADHD

Analyses of population-based national health insurance data

Jin Ding Lin, Yi Hsin Chen, Lan Ping Lin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Medical costs of attention-deficit/hyperactivity disorder (ADHD) are substantial and have a large impact on the public health system. The present study presents information regarding outpatient rehabilitation care usage and medical expenditure for children with ADHD. A cross-sectional study was conducted by analyzing data from the Taiwan National Health Insurance claims database for the year 2009. A total of 6643 children aged 0-7. years with ADHD (ICD-9-CM codes 314.0. x: attention deficit disorder, 314.00: attention deficit disorder without hyperactivity, or 314.01: attention-deficit disorder with hyperactivity) who had used outpatient rehabilitation care were included in the analyses. Results showed that the mean annual rehabilitation care was 22.24 visits. Among the care users, 76% of patients were male, and 24% were female. More than half of the children with ADHD had comorbid mental illnesses as well. A logistic regression analysis of outpatient rehabilitation expenditure (low vs. high) showed that of those children with ADHD, those aged 0-2. years tended to incur more medical costs than those aged 6-7. years. Other factors such as frequency of rehabilitation visits, hospital medical setting and ownership, location of medical care setting, and types of rehabilitation were also significantly correlated with medical expenditure. The results from this study suggest that health care systems should ensure accurate diagnosis and measurement of impairment to maintain appropriate and successful management of rehabilitation needs for children with ADHD.

Original languageEnglish
Pages (from-to)2127-2132
Number of pages6
JournalResearch in Developmental Disabilities
Volume34
Issue number7
DOIs
Publication statusPublished - May 14 2013
Externally publishedYes

Fingerprint

National Health Programs
Attention Deficit Disorder with Hyperactivity
Outpatients
Rehabilitation
Population
Health Expenditures
Ambulatory Care
Costs and Cost Analysis
Ownership
International Classification of Diseases
Taiwan
Public Health
Cross-Sectional Studies
Logistic Models
Regression Analysis
Databases
Delivery of Health Care

Keywords

  • Attention-deficit/hyperactivity disorder (ADHD)
  • Medical cost
  • Medical expenditure
  • Outpatient
  • Rehabilitation

ASJC Scopus subject areas

  • Clinical Psychology
  • Developmental and Educational Psychology

Cite this

Outpatient rehabilitation utilization and medical expenses in children aged 0-7years with ADHD : Analyses of population-based national health insurance data. / Lin, Jin Ding; Chen, Yi Hsin; Lin, Lan Ping.

In: Research in Developmental Disabilities, Vol. 34, No. 7, 14.05.2013, p. 2127-2132.

Research output: Contribution to journalArticle

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