Specialized therapies by children, correlates of use

儿童的专业治疗、使用的相关性

• 批准号: 6630790
• 负责人: KAREN A KUHLTHAU
• 金额: $ 10万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-06 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6630790
• 关键词: children; clinical research; cost effectiveness; data collection methodology /evaluation; health care cost /financing; health economics; health insurance; human data; socioeconomics; therapy; urban area

DESCRIPTION (provided by applicant): This project describes patterns and correlates of use of specialized therapies (physical therapy, occupational therapy, speech therapy, language therapy, respiratory therapy, and home health) in children and in children with chronic conditions and injuries. The project has three objectives: 1) to describe patterns of use and expenditures for specialized therapies for children with and without chronic conditions, 2) to determine correlates of specialized therapy use among children including predisposing, enabling, and need characteristics, and, 3) to understand how use of providers affects use. The project will use data from four data sources, the National Health Interview Survey on Disability, the Medical Expenditure Panel Survey, the 5 percent sample of Medi-Cal eligibility and encounter data, California's fee-for-service Medicaid plan, and a cohort of children in Harvard Vanguard Health Associates. Descriptive analyses will include examining patterns of use among chronically and non-chronically ill children and understanding absolute and relative expenditures of therapies. The study will further examine the role of primary and specialty providers as predictors of specialized therapy use. This project will provide the first comprehensive and systematic description of the use, expenditures, and predictors of specialized therapies by children. Understanding the correlates of use and expenditures will provide information about children who have relatively rich versus relatively sparse use of services. This information will help health plans to better predict future use. It will help advocates who may seek to change policies that influence access for subpopulations. This study will provide useful information in discussions regarding care co-ordination and interagency systems.

描述（由申请人提供）：本项目描述了在儿童和患有慢性疾病和损伤的儿童中使用专业治疗（物理治疗、职业治疗、语言治疗、语言治疗、呼吸治疗和家庭健康）的模式和相关性。该项目有三个目标：1)描述针对患有和非慢性疾病的儿童的专门治疗的使用模式和支出；2)确定儿童使用专门治疗的相关性，包括易感、使能和需求特征；3)了解提供者的使用如何影响使用。该项目将使用来自四个数据源的数据：全国残疾健康访谈调查、医疗支出小组调查、加州医疗保险资格和就诊数据的5%样本、加州按服务收费的医疗补助计划，以及哈佛先锋健康协会的一组儿童。描述性分析将包括检查慢性和非慢性疾病儿童的使用模式，并了解治疗的绝对和相对支出。该研究将进一步研究初级和专业提供者作为专业治疗使用预测因素的作用。