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A Survey of Out-of-Pocket Expenditures for Children with Autism Spectrum Disorder in Israel |
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| Authors: | Raanan Raz Liat Lerner-Geva Odelia Leon Gabriel Chodick Lidia V. Gabis |
| Affiliation: | 1. School of Public Health, Tel Aviv University, Tel Aviv, Israel 2. Maccabi Healthcare Services, Tel Aviv, Israel 6. Harvard School of Public Health, Landmark Center, 401 Park Dr., Boston, MA, 02215, USA 3. The Women and Children Health Research Unit, the Gertner Institute, Tel-Hashomer, Israel 4. Weinberg Child Development Center, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel-Hashomer, Israel 5. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel |
| Abstract: | We describe a survey of children with ASD aged 4–10 years. The main dependent variables were out-of-pocket expenditures for health services and hours of therapy. Multivariable logistic regression models were used in order to find independent predictors for service utilization. Parents of 178 of the children (87 %) agreed to participate. The average annual out-of-pocket cost was $8,288, with a median of $4,473 and a range of $0-89,754. Higher severity of ASD and a parent with an academic degree were associated with higher expenditure. Having at least one older sibling, siblings without developmental disorders, regular education setting, lower parent education and low income were associated with lower expenditure. |
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