Changes in Provider Type and Prescription Refills Among Privately Insured Children and Youth With ADHD.

ABSTRACT:

Objective

The aim of this paper is to understand associations between age and health care provider type in medication continuation among transition-aged youth with ADHD.

Method

Using an employer-sponsored insurance claims database, we identified patients with likely ADHD and receipt of ADHD medications. Among patients who had an outpatient physician visit at baseline and maintained enrollment at follow-up 3 years later, we evaluated which ones continued to fill prescriptions for ADHD medications.

Results

Patients who were younger at follow-up more frequently continued medication (77% of 11-12 year-olds vs. 52% of 19-20 year-olds). Those who saw a pediatric provider at baseline and follow-up more frequently continued to fill ADHD medication prescriptions than those who saw a pediatric provider at baseline and non-pediatric providers at follow-up (71% vs. 53% among those ages 15-16 years at follow-up).

Conclusion

Adolescents and young adults with ADHD who changed from pediatric to exclusively non-pediatric providers less frequently continued to receive ADHD medications.

SUBMITTER: Hart LC 

PROVIDER: S-EPMC7969464 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature