A national profile of health care utilization and expenditures for children with special health care needs
A national profile of health care utilization and expenditures for children with special health care needs
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DOI：
10.1001/archpedi.159.1.10
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发表时间：
2005-01-01
影响因子：
--
通讯作者：
Kim, SE
中科院分区：
文献类型：
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作者：
Newacheck, PW;Kim, SE
目的：提供第一个全国代表性的数据，关于医疗保健总费用、自付医疗保健费用，以及自付费用对有特殊医疗保健需求儿童的家庭造成经济负担的程度。也比较使用和支出模式的儿童和没有特殊的healthcare needs.Design：我们使用的数据从2000年医疗支出调查（MEPS）。我们提出了单变量，双变量和多变量的利用和支出的统计调整为复杂的样本design.Participants：2000年MEPS数据集包含6965名儿童年龄小于18岁。采用联邦妇幼卫生局采用的CSHCN定义并使用CSHCN筛选器进行操作，949名儿童（15.6%）被确定为有特殊卫生保健需要的儿童。主要结果测量：与其他儿童相比，CSHCN的卫生保健费用高3倍（2099美元比628美元; P
Objectives: To provide the first nationally representative data on total health care expenses, out-of-pocket health care expenses, and information on the extent to which out-of-pocket expenses are financially burdensome for families of children with special health care needs (CSHCN). To also compare utilization and expenditure patterns for children with and without special health care needs.Design: We used data from the 2000 Medical Expenditure Panel Survey (MEPS). We present univariate, bivariate, and multivariate statistics on utilization and expenditures adjusted for the complex sample design.Participants: The 2000 MEPS data set contains 6965 children younger than 18 years. Using the CSHCN definition adopted by the federal Maternal and Child Health Bureau and operationalized using the CSHCN Screener, 949 children (15.6%) were identified as children with special health care needs.Main Outcome Measures: Compared with other children, CSHCN had 3 times higher health care expenditures ($2099 vs $628; P