Journal of Autism and Developmental Disorders

, Volume 43, Issue 10, pp 2295–2302

A Survey of Out-of-Pocket Expenditures for Children with Autism Spectrum Disorder in Israel

  • Raanan Raz
  • Liat Lerner-Geva
  • Odelia Leon
  • Gabriel Chodick
  • Lidia V. Gabis
Original Paper

DOI: 10.1007/s10803-013-1782-2

Cite this article as:
Raz, R., Lerner-Geva, L., Leon, O. et al. J Autism Dev Disord (2013) 43: 2295. doi:10.1007/s10803-013-1782-2

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.

Keywords

Pervasive developmental disorders Autism spectrum disorders Health services Out-of-pocket costs 

Supplementary material

10803_2013_1782_MOESM1_ESM.doc (60 kb)
Supplementary material 1 (DOC 60 kb)
10803_2013_1782_MOESM2_ESM.doc (62 kb)
Supplementary material 2 (DOC 62 kb)

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Raanan Raz
    • 1
    • 2
    • 6
  • Liat Lerner-Geva
    • 1
    • 3
  • Odelia Leon
    • 4
  • Gabriel Chodick
    • 1
    • 2
  • Lidia V. Gabis
    • 4
    • 5
  1. 1.School of Public HealthTel Aviv UniversityTel AvivIsrael
  2. 2.Maccabi Healthcare ServicesTel AvivIsrael
  3. 3.The Women and Children Health Research Unit, the Gertner InstituteTel-HashomerIsrael
  4. 4.Weinberg Child Development CenterThe Edmond and Lily Safra Children’s Hospital, Sheba Medical CenterTel-HashomerIsrael
  5. 5.Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael
  6. 6.Harvard School of Public HealthLandmark CenterBostonUSA

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