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A population approach to understanding children's access to assistive technology.
Disabil Rehabil. 2009; 31(7):582-92.DR

Abstract

PURPOSE

To determine whether service delivery system factors, including having a quality medical home, access to therapeutic services, or enrolment in early intervention/special education services, are associated with meeting children's needs for assistive technology (AT).

METHOD

Data were analysed for children 0-17 years of age participating in the 2001 US National Survey of Children with Special Health Care Needs who required AT services (N = 18,372) and a subgroup of children needing assistive devices typically provided by rehabilitation professionals (N = 4429). AT needs included vision or hearing aids or care, communication or mobility devices, or other medical equipment. Unmet need was defined as not receiving all needed services. Estimates were generated of the per cent of children needing and having unmet needs for services. Associations between the medical home, therapy and education variables and having an unmet need for AT were assessed using logistic regression.

RESULTS

An estimated 49% of children with special health care needs require AT services. Twelve per cent require AT services typically provided by rehabilitation professionals. Of the latter group, 14% had unmet needs. The likelihood of having unmet AT needs was greater for children lacking a quality medical home (a.O.R. = 3.27 [95% C.I. = 2.29-4.66]) and/or those not receiving needed therapy services (a.O.R. = 3.52 [95% C.I. = 2.25-5.48]) than for children whose medical home and therapy service expectations were met. Enrolment in early intervention/special education was not associated with having unmet needs for AT.

CONCLUSIONS

Promoting quality care within a complex service delivery system is critical to meeting the AT needs of children and their families. Changes in the structure and processes of care, including facilitating access to a quality medical home and needed therapy services would likely increase access to needed AT.

Authors+Show Affiliations

Occupational Therapy Program, Department of Kinesiology, University of Wisconsin, Madison WI 53706-1532, USA. rbenedict@education.wisc.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19034708

Citation

Benedict, R E., and A M. Baumgardner. "A Population Approach to Understanding Children's Access to Assistive Technology." Disability and Rehabilitation, vol. 31, no. 7, 2009, pp. 582-92.
Benedict RE, Baumgardner AM. A population approach to understanding children's access to assistive technology. Disabil Rehabil. 2009;31(7):582-92.
Benedict, R. E., & Baumgardner, A. M. (2009). A population approach to understanding children's access to assistive technology. Disability and Rehabilitation, 31(7), 582-92. https://doi.org/10.1080/09638280802239573
Benedict RE, Baumgardner AM. A Population Approach to Understanding Children's Access to Assistive Technology. Disabil Rehabil. 2009;31(7):582-92. PubMed PMID: 19034708.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A population approach to understanding children's access to assistive technology. AU - Benedict,R E, AU - Baumgardner,A M, PY - 2008/11/27/pubmed PY - 2009/6/26/medline PY - 2008/11/27/entrez SP - 582 EP - 92 JF - Disability and rehabilitation JO - Disabil Rehabil VL - 31 IS - 7 N2 - PURPOSE: To determine whether service delivery system factors, including having a quality medical home, access to therapeutic services, or enrolment in early intervention/special education services, are associated with meeting children's needs for assistive technology (AT). METHOD: Data were analysed for children 0-17 years of age participating in the 2001 US National Survey of Children with Special Health Care Needs who required AT services (N = 18,372) and a subgroup of children needing assistive devices typically provided by rehabilitation professionals (N = 4429). AT needs included vision or hearing aids or care, communication or mobility devices, or other medical equipment. Unmet need was defined as not receiving all needed services. Estimates were generated of the per cent of children needing and having unmet needs for services. Associations between the medical home, therapy and education variables and having an unmet need for AT were assessed using logistic regression. RESULTS: An estimated 49% of children with special health care needs require AT services. Twelve per cent require AT services typically provided by rehabilitation professionals. Of the latter group, 14% had unmet needs. The likelihood of having unmet AT needs was greater for children lacking a quality medical home (a.O.R. = 3.27 [95% C.I. = 2.29-4.66]) and/or those not receiving needed therapy services (a.O.R. = 3.52 [95% C.I. = 2.25-5.48]) than for children whose medical home and therapy service expectations were met. Enrolment in early intervention/special education was not associated with having unmet needs for AT. CONCLUSIONS: Promoting quality care within a complex service delivery system is critical to meeting the AT needs of children and their families. Changes in the structure and processes of care, including facilitating access to a quality medical home and needed therapy services would likely increase access to needed AT. SN - 0963-8288 UR - https://www.unboundmedicine.com/medline/citation/19034708/A_population_approach_to_understanding_children's_access_to_assistive_technology_ L2 - https://www.tandfonline.com/doi/abs/10.1080/09638280802239573 DB - PRIME DP - Unbound Medicine ER -