Tags

Type your tag names separated by a space and hit enter

Unmet health care needs among CSHCN with neurologic conditions.
Pediatrics. 2009 Dec; 124 Suppl 4:S343-51.Ped

Abstract

OBJECTIVE

Children with neurologic conditions require a variety of services. With this study we examined health care needs and unmet needs among children with neurologic conditions.

METHODS

Cross-sectional data reported by parents of 3- to 17-year-olds in the 2005-2006 National Survey of Children With Special Health Care Needs were analyzed. Demographic characteristics, health care needs, and unmet needs of children with special health care needs (CSHCN) and neurologic conditions were descriptively compared with an independent referent group of children without special health care needs; statistical contrasts were performed as a function of the type (conditions included in the Diagnostic and Statistical Manual of Mental Disorders [DSM] or not) and number of reported neurologic conditions.

RESULTS

Compared with the parents of children without special health care needs, parents of CSHCN with neurologic conditions were more likely to report unmet health care needs for their child. After adjustment for demographic factors and severity of functional limitation, CSHCN with at least 2 conditions had more visits to a health care provider, needed more services, and reported more unmet needs than CSHCN with a single DSM condition. The magnitude of need among CSHCN was greatest among those with at least 1 of each type of neurologic condition.

CONCLUSIONS

Unmet health care needs exist among CSHCN with neurologic conditions and are particularly pronounced among children with a combination of both DSM and non-DSM disorders. The health care needs among CSHCN with multiple neurologic conditions may be better served by targeted efforts to improve care coordination.

Authors+Show Affiliations

Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Division of Human Development and Disability, 1600 Clifton Rd, Atlanta, GA 30333, USA. rhuotbitsko@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19948598

Citation

Bitsko, Rebecca H., et al. "Unmet Health Care Needs Among CSHCN With Neurologic Conditions." Pediatrics, vol. 124 Suppl 4, 2009, pp. S343-51.
Bitsko RH, Visser SN, Schieve LA, et al. Unmet health care needs among CSHCN with neurologic conditions. Pediatrics. 2009;124 Suppl 4:S343-51.
Bitsko, R. H., Visser, S. N., Schieve, L. A., Ross, D. S., Thurman, D. J., & Perou, R. (2009). Unmet health care needs among CSHCN with neurologic conditions. Pediatrics, 124 Suppl 4, S343-51. https://doi.org/10.1542/peds.2009-1255D
Bitsko RH, et al. Unmet Health Care Needs Among CSHCN With Neurologic Conditions. Pediatrics. 2009;124 Suppl 4:S343-51. PubMed PMID: 19948598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unmet health care needs among CSHCN with neurologic conditions. AU - Bitsko,Rebecca H, AU - Visser,Susanna N, AU - Schieve,Laura A, AU - Ross,Danielle S, AU - Thurman,David J, AU - Perou,Ruth, PY - 2009/12/2/entrez PY - 2010/1/9/pubmed PY - 2010/1/23/medline SP - S343 EP - 51 JF - Pediatrics JO - Pediatrics VL - 124 Suppl 4 N2 - OBJECTIVE: Children with neurologic conditions require a variety of services. With this study we examined health care needs and unmet needs among children with neurologic conditions. METHODS: Cross-sectional data reported by parents of 3- to 17-year-olds in the 2005-2006 National Survey of Children With Special Health Care Needs were analyzed. Demographic characteristics, health care needs, and unmet needs of children with special health care needs (CSHCN) and neurologic conditions were descriptively compared with an independent referent group of children without special health care needs; statistical contrasts were performed as a function of the type (conditions included in the Diagnostic and Statistical Manual of Mental Disorders [DSM] or not) and number of reported neurologic conditions. RESULTS: Compared with the parents of children without special health care needs, parents of CSHCN with neurologic conditions were more likely to report unmet health care needs for their child. After adjustment for demographic factors and severity of functional limitation, CSHCN with at least 2 conditions had more visits to a health care provider, needed more services, and reported more unmet needs than CSHCN with a single DSM condition. The magnitude of need among CSHCN was greatest among those with at least 1 of each type of neurologic condition. CONCLUSIONS: Unmet health care needs exist among CSHCN with neurologic conditions and are particularly pronounced among children with a combination of both DSM and non-DSM disorders. The health care needs among CSHCN with multiple neurologic conditions may be better served by targeted efforts to improve care coordination. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/19948598/Unmet_health_care_needs_among_CSHCN_with_neurologic_conditions_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=19948598 DB - PRIME DP - Unbound Medicine ER -