Exploring the Impact of Insurance Gaps on Healthcare Burden for Autistic Children.

Wanqing Zhang, Stephanie Reszka, Khalilah R Johnson

Abstract read

In one paragraph

Article in Journal of autism and developmental disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Wanqing ZhangDepartment of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, 321 S. Columbia Street, Chapel Hill, NC, 27599-7122, USA. wanqing_zhang@med.unc.edu.ORCID http://orcid.org/0000-0003-0291-4925

Stephanie ReszkaFrank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Khalilah R JohnsonDepartment of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, 321 S. Columbia Street, Chapel Hill, NC, 27599-7122, USA.

Funding

Maternal and Child Health Bureau R43MC53076

6 · The paper itself

Abstract

The purpose of this study was to explore the relationship between health insurance gaps, health care experience ratings, and the financial burden of self-payment for medical expenses among autistic children in the U.S. Using secondary data from the 2010-2021 Medical Expenditure Panel Survey, multivariable regression analyses were conducted to examine the relationship between health insurance gaps and key outcomes: healthcare experience ratings over the past year and the percentage of medical expenses paid out-of-pocket. Autistic children with insurance gaps reported significantly lower satisfaction ratings for health care than autistic children without insurance gaps, with an estimated difference of -0.153 (p <.0001); the proportion of self-pay for children with insurance gaps was significantly higher compared to children without insurance gaps, with an estimated difference of 0.092 (p <.0001).. A health insurance gap significantly influences both the perceived quality of health care and the financial responsibility borne by families of autistic children. These findings underscore the need for targeted policy interventions to address differences in health care access and affordability.

Indexed as

AutismAutistic childrenFinancial burdenHealth care experienceInsurance gaps

Identifiers

PMID40679746

DOI10.1007/s10803-025-06956-z

What OpenQuestion holds

Textmetadata

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.