Cost-Effectiveness Analysis Comparing Pre-diagnosis Autism Spectrum Disorder (ASD)-Targeted Intervention with Ontario's Autism Intervention Program.
J Autism Dev Disord
; 45(9): 2833-47, 2015 Sep.
Article
in En
| MEDLINE
| ID: mdl-25936527
ABSTRACT
Novel management strategies for autism spectrum disorder (ASD) propose providing interventions before diagnosis. We performed a cost-effectiveness analysis comparing the costs and dependency-free life years (DFLYs) generated by pre-diagnosis intensive Early Start Denver Model (ESDM-I); pre-diagnosis parent-delivered ESDM (ESDM-PD); and the Ontario Status Quo (SQ). The analyses took government and societal perspectives to age 65. We assigned probabilities of Independent, Semi-dependent or Dependent living based on projected IQ. Costs per person (in Canadian dollars) were ascribed to each living setting. From a government perspective, the ESDM-PD produced an additional 0.17 DFLYs for $8600 less than SQ. From a societal perspective, the ESDM-I produced an additional 0.53 DFLYs for $45,000 less than SQ. Pre-diagnosis interventions targeting ASD symptoms warrant further investigation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Autistic Disorder
/
Behavior Therapy
/
Cost-Benefit Analysis
/
Early Intervention, Educational
Type of study:
Diagnostic_studies
/
Evaluation_studies
/
Health_economic_evaluation
Aspects:
Patient_preference
Limits:
Adolescent
/
Adult
/
Humans
Language:
En
Journal:
J Autism Dev Disord
Year:
2015
Document type:
Article