Care Coordination for Children and Youth With Special Health Care Needs: National Survey Results
Care Coordination for Children and Youth With Special Health Care Needs: National Survey Results
复制标题
DOI：
10.1177/0009922818783501
复制
发表时间：
2018-10-01
影响因子：
1.6
通讯作者：
Turchi, Renee
中科院分区：
文献类型：
--
作者：
Cordeiro, Alana;Davis, Renee Krysko;Turchi, Renee
我们分析了 2009-2010 年全国有特殊医疗保健需求的儿童调查的结果，以确定有特殊医疗保健需求的儿童和青少年的家庭 (CYSHCN) 之间的关联，报告充分的护理协调 (CC) 与家庭提供者关系、共同决策 (SDM) 和儿童结局。符合条件的受试者是 98% 被询问有关 CC、服务使用和沟通的家庭。使用 (2) 检验对二元结果变量进行双变量分析，以确定 CC 与自变量和因变量之间关联的强度。构建加权多变量逻辑回归模型来评估充足 CC 与儿童结局的独立关联以及 SDM 与充足 CC 的关联。在 CYSHCN 询问有关 CC 的家庭中，72% 的家庭表示接受了 CC 方面的帮助。其中，55% 的人表示收到了足够的 CC。充分 CC 的家庭报告与家庭-提供者关系、儿童结局以及提供者参与 SDM 的报告呈正相关。
We analyzed findings from the 2009-2010 National Survey of Children with Special Health Care Needs to identify associations between families with children and youth with special health care needs (CYSHCN) reporting adequate care coordination (CC) with family-provider relations, shared decision making (SDM), and child outcomes. Eligible subjects were the 98% of families asked about CC, service use, and communication. Bivariate analysis using (2) tests were performed on binary outcome variables to determine the strength of the associations between CC and independent and dependent variables. Weighted, multivariate logistic regression models were constructed to assess independent associations of adequate CC with child outcomes and associations of SDM on adequate CC. Among families of CYSHCN asked about CC, 72% reported receiving help with CC. Of these, 55% reported receiving adequate CC. Family report of adequate CC was favorably associated with family-provider relations, child outcomes, and report of provider participation in SDM.