4.5 Article

Heterogeneity in Autism Spectrum Disorder Case-Finding Algorithms in United States Health Administrative Database Analyses

Journal

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 52, Issue 9, Pages 4150-4163

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-021-05269-1

Keywords

Health services research; Claims data; Autism spectrum disorder; Case-finding algorithms

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Strengthening systems of care for individuals with autism spectrum disorder is increasingly important, with administrative data providing advantages for research and planning purposes. However, differences in strategies employed to identify individuals with ASD in administrative data may limit comparability of results across studies.
Strengthening systems of care to meet the needs of individuals with autism spectrum disorder (ASD) is of growing importance. Administrative data provide advantages for research and planning purposes, including large sample sizes and the ability to identify enrollment in insurance coverage and service utilization of individuals with ASD. Researchers have employed varying strategies to identify individuals with ASD in administrative data. Differences in these strategies can limit the comparability of results across studies. This review describes implications of the varying strategies that have been employed to identify individuals with ASD in US claims databases, with consideration of the strengths and limitations of each approach.

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