HEALTH CARE USE FOR CHILDREN IN HOMELESS FAMILIES

无家可归家庭儿童的医疗保健用途

基本信息

批准号：
7564823
负责人：
Min Park
金额：
$ 7.65万
依托单位：
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-03-01 至 2011-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7564823
关键词：
Accident and Emergency department Acute Address Adult Archives Caring Child Child Health Services Childhood Chronic Chronic Disease Continuity of Patient Care Data Data Collection Development Developmental Delay Disorders Education Emotional Ensure Failure Family Future Goals Health Health Services Health Status Healthcare Homeless Youth Homelessness Hospitalization Housing Investigation Knowledge Lead Life Longitudinal Studies Low income Measures Mental Health Mental Health Services Mental disorders Outcome Parenting behavior Parents Pattern Problem behavior Provider Quality of Care Relative (related person)Request for Applications Research Research Design Resources Risk Role Sampling Services Social Problems Social Work Social support System Time United States National Institutes of Health Vulnerable Populations Wood material base care systems cohort comparison group design experience health care service utilization high risk improved insight longitudinal design prevent therapy design

项目摘要

DESCRIPTION (provided by applicant): The goal of this research is to improve healthcare and coordination of care among children in homeless families, which will lead to improving health outcomes in this vulnerable population. To achieve this goal, the proposed study will examine whether and how homelessness influences healthcare use of children. The main research aims are to examine 1) whether children's health service use changes before, during and after their initial homeless episode and 2) whether children who become homeless differ from other low-income housed children in their healthcare use before their first homeless episode, afterwards, and whether there are differences in the change in use around the homeless episode relative to housed children. The proposed study will use a retrospective cohort design based on a longitudinal archive of administrative data. The longitudinal design of this study will allow for the investigation of temporal patterns of service use, which will provide insight into the impact of homelessness on health service utilization among children. This study will have the added benefit of comparing children in homeless families with low-income housed children. The proposed research design will provide information on the healthcare use of children before, during, after their episodes of homelessness, as well as a comparison group of low-income housed children. Results from this study will help identify a group of children with a great need for healthcare, which will enable healthcare and homeless service providers to use their limited resources for those who need timely, comprehensive, and integrated health services. The findings of this study will provide information on services to improve healthcare use for homeless children and to strengthen the coordination of healthcare and homeless services. In addition, the findings will allow us to make more targeted and efficient sampling decisions for future studies.

描述（由申请人提供）：这项研究的目的是改善无家可归家庭中儿童的医疗保健和护理协调，这将改善这一脆弱人群的健康状况。为了实现这一目标，拟议的研究将研究无家可归者是否以及如何影响儿童的医疗保健。主要研究的目的是检查1）儿童的卫生服务使用在初次无家可归的事件之前，之中和之后的使用变化以及2）生物无家可归的孩子是否与其他低收入儿童在第一次无家可归的发作之前，之后的医疗保健中是否有不同的医疗保健，以及之后的无家可归者，以及相对无家可归的儿童的使用情况差异是否存在差异。拟议的研究将根据行政数据的纵向档案使用回顾性队列设计。这项研究的纵向设计将允许调查服务的时间使用方式，这将洞悉无家可归者对儿童卫生服务利用的影响。这项研究将带来比较患有低收入儿童的无家可归家庭的儿童的额外好处。拟议的研究设计将提供有关儿童在无家可归之后，之后，之后，在低收入儿童的比较组之前，提供有关儿童医疗保健使用的信息。这项研究的结果将有助于确定一群对医疗保健非常需要的儿童，这将使医疗保健和无家可归的服务提供商能够为需要及时，全面和综合医疗服务的人使用有限的资源。这项研究的结果将提供有关改善无家可归儿童医疗保健使用的服务的信息，并加强医疗保健和无家可归者服务的协调。此外，这些发现将使我们能够为将来的研究做出更有针对性，有效的抽样决策。