Health Care Needs of Children With Tourette Syndrome
Health Care Needs of Children With Tourette Syndrome
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DOI：
10.1177/0883073812465121
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发表时间：
2013-12-01
影响因子：
1.9
通讯作者：
Perou, Ruth
中科院分区：
文献类型：
--
作者：
Bitsko, Rebecca H.;Danielson, Melissa;Perou, Ruth
为了记录图雷特综合征对儿童医疗保健需求的影响以及图雷特综合征青少年获得医疗保健的机会，对2007-2008年全国儿童健康调查的家长报告数据进行了分析。图雷特综合征儿童的精神障碍比哮喘儿童或没有图雷特综合征或哮喘的儿童多，其医疗保健需求等于或大于哮喘儿童（没有图雷特综合征）或既没有哮喘也没有图雷特综合征的儿童。在患有抽动秽语综合征和并发精神障碍的儿童中，卫生保健需求最大，这些儿童最不可能得到有效的护理协调。解决并发症可能会改善妥瑞氏综合征儿童的健康和福祉。可能需要将行为健康和初级保健相结合等策略来改善护理协调。
To document the impact of Tourette syndrome on the health care needs of children and access to health care among youth with Tourette syndrome, parent-reported data from the 2007-2008 National Survey of Children's Health were analyzed. Children with Tourette syndrome had more co-occurring mental disorders than children with asthma or children without Tourette syndrome or asthma and had health care needs that were equal to or greater than children with asthma (no Tourette syndrome) or children with neither asthma nor Tourette syndrome. Health care needs were greatest among children with Tourette syndrome and co-occurring mental disorders, and these children were least likely to receive effective care coordination. Addressing co-occurring conditions may improve the health and well-being of children with Tourette syndrome. Strategies such as integration of behavioral health and primary care may be needed to improve care coordination.