1. Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics
- Author
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J. Höfer, F. Hoffmann, M. Dörks, I. Kamp-Becker, C. Küpper, L. Poustka, S. Roepke, V. Roessner, S. Stroth, N. Wolff, and C. Bachmann
- Subjects
health services ,autism ,Germany ,costs ,Psychiatry ,RC435-571 - Abstract
Introduction Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Objectives Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ < 85) from German outpatient clinics were assessed. Methods Client Service Receipt Inventory Results Average annual costs per person were 3287 EUR, with psychiatric inpatient care (19.8%), pharmacotherapy (11.1%), and occupational therapy (11.1%) being the largest cost components. Females incurred higher costs than males (4864 EUR vs. 2936 EUR). In a regression model, female sex (Cost Ratio: 1.65), lower IQ (1.90), and Asperger syndrome (1.54) were associated with higher costs. Conclusions In conclusion, ASD-related health costs are comparable to those of schizophrenia, thus underlining its public health relevance. Higher costs in females demand further research. Disclosure No significant relationships.
- Published
- 2022
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