Disparities in Unmet Need for Care Coordination: The National Survey of Children's Health
Disparities in Unmet Need for Care Coordination: The National Survey of Children's Health
复制标题
DOI：
10.1542/peds.2012-1535
复制
发表时间：
2013-02-01
期刊：
影响因子：
8
通讯作者：
Schuster, Mark A.
中科院分区：
文献类型：
--
作者：
Toomey, Sara L.;Chien, Alyna T.;Schuster, Mark A.
目的：确定 (1) 报告需要并接受其孩子有效护理协调的父母比例，(2) 未满足的护理协调需求是否因有特殊医疗保健需求 (CSHCN) 状况和社会人口学特征的儿童而异，以及 (3) 拥有个人提供者或以家庭为中心的护理是否可以减少差异。 方法：本研究是对 2007 年全国儿童健康调查的横断面分析，该调查是一项全国性的调查。 对 91 642 名家长的代表性调查。结果衡量标准是家长报告需要和缺乏有效的护理协调。我们还研究了家长报告拥有个人提供者和以家庭为中心的护理的影响。我们进行了加权双变量和多变量分析。结果：41% 的父母表示他们的孩子需要护理协调。在需要护理协调的人中，31%的人没有得到有效的协调。 CSHCN（41%）比没有特殊医疗保健需求的儿童（26%；P
OBJECTIVE: To determine (1) the proportion of parents who report a need for and receipt of effective care coordination for their child, (2) whether unmet care coordination needs differ by children with special health care needs (CSHCN) status and sociodemographic characteristics, and (3) whether having a personal provider or family-centered care mitigates disparities.METHODS: This study was a cross-sectional analysis of the 2007 National Survey for Children's Health, a nationally representative survey of 91 642 parents. Outcome measures were parent report of need for and lack of effective care coordination. We also examined the effect of parent report of having a personal provider and family-centered care. We conducted weighted bivariate and multivariate analyses.RESULTS: Forty-one percent of parents reported that their child needed care coordination. Among those who needed care coordination, 31% did not receive effective coordination. CSHCN (41%) were more likely than children without special health care needs (26%; P