Journal of Health Economics · 2026 · Maathumai Ranjan、Robert V. Breunig
中文摘要
本文考察残疾支持的个体化资助对自闭症诊断的影响。我们利用国家残疾保险计划(NDIS)分批推开的时机来识别这些效应,该计划为非医疗性残疾干预提供个体化资助。我们发现有力证据表明,NDIS的实施使报告的自闭症患病率上升了32%,并占该计划实施以来新增诊断的47%。我们发现政府补贴的医疗专业人员作出的诊断显著减少,同时残疾服务提供者作出的诊断有所增加。与历史上诊断不足群体的补诊相比,更低的自闭症认定门槛似乎与我们的结果更为一致。
Abstract
This paper examines the impact of individualized funding for disability supports on autism diagnoses. We identify these effects using the staggered roll out of the National Disability Insurance Scheme (NDIS), which provides individualized funding for non-medical disability interventions. We find compelling evidence that the introduction of the NDIS has led to a 32 % increase in reported autism prevalence and accounts for 47 % of new diagnoses since the introduction of the scheme. We find a significant reduction in diagnoses from government subsided healthcare professionals, accompanied by an increase in diagnoses from disability service providers. A lower threshold for autism recognition appears more consistent with our results than catch-up in historically underdiagnosed groups.