Congruence between parents' and adolescents' reports of special health care needs in a Title XXI program.
Congruence between parents' and adolescents' reports of special health care needs in a Title XXI program.
复制标题
家长和青少年对第 XXI 章计划中特殊医疗保健需求的报告之间的一致性。
DOI：
10.1093/jpepsy/jsg029
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发表时间：
2003
影响因子：
3.6
通讯作者：
Shenkman,ElizabethA
中科院分区：
文献类型：
--
作者：
Youngblade,LiseM;Shenkman,ElizabethA
目的本研究采用特殊卫生保健需要儿童（CSHCN）筛检器，探讨青少年与父母对青少年是否有特殊卫生保健需要的共识。方法对522名新加入佛罗里达州儿童健康保险计划（SCHIP）的青少年及其父母进行电话调查，包括CSHCN筛选器。结果分析揭示了关于青少年是否患有慢性疾病的实质性一致意见。然而，有15%的夫妇不同意。对夫妻分歧的分析显示，父母比青少年更经常报告青少年的慢性病，最显著的是心理健康状况。另外的分析显示，年龄较大的青少年、女性青少年和西班牙裔的配对比他们的配对更有可能一致。结论基于结果的CSHCN筛检结果的一致性高于基于诊断的筛检结果。尽管一致性令人印象深刻，但分析也强调了父母倾向于夸大与青少年有关的特殊医疗保健需求，特别是心理健康问题，并说明了一些可能预测一致性的人口因素。这些发现与使用工具（如CSHCN筛选器）分析儿童和青少年医疗保健项目入选者的相关工作有关。
ObjectivesThe purpose of this study was to examine agreement between adolescents and their parents about whether or not the adolescent had a special health care need, using the Children with Special Health Care Needs (CSHCN) Screener.MethodsTelephone surveys that included the CSHCN Screener were conducted with 522 adolescents and their parents who were new enrollees in Florida's State Children's Health Insurance Program (SCHIP).ResultsAnalyses revealed substantial agreement as to whether or not the adolescent had a chronic condition. However, a full 15% of pairs disagreed. Analyses of pair disagreement revealed that parents reported adolescents' chronic conditions more often than adolescents, most strikingly for mental health conditions. Additional analyses revealed that pairs with older adolescents, female adolescents, and Hispanic origin had higher odds of being congruent than their counterparts.ConclusionsThe results showed higher congruence using the consequence-based CSHCN Screener than is typically reported for diagnosis-based approaches. Despite an impressive rate of agreement, the analyses also highlighted parents' tendency to overreport special health care needs relative to their adolescent, particularly for mental health issues, and illustrated some of the demographic factors that might predict congruence. These findings are relevant to work related to the use of tools such as the CSHCN Screener in profiling enrollees in health care programs that serve children and adolescents.