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Reasons for Unmet Need for Child and Family Health Services among Children with Special Health Care Needs with and without Medical Homes

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TypeOfResource
Text
TitleInfo
Title
Reasons for Unmet Need for Child and Family Health Services among Children with Special Health Care Needs with and without Medical Homes
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0003-3584-0846)
NamePart (type = family)
Miller
NamePart (type = given)
Jane E.
Affiliation
Institute for Health, Health Care Policy and Aging Research (IHHCPAR), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Nugent
NamePart (type = given)
Colleen N.
Affiliation
Institute for Health, Health Care Policy and Aging Research (IHHCPAR), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (type = personal)
NamePart (type = family)
Gaboda
NamePart (type = given)
Dorothy
Role
RoleTerm (authority = marcrt); (type = text)
author
Affiliation
Institute for Health, Health Care Policy and Aging Research (IHHCPAR), Rutgers University
Name (type = personal)
NamePart (type = family)
Russell
NamePart (type = given)
Louise B.
Affiliation
Institute for Health, Health Care Policy and Aging Research (IHHCPAR), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
Institute for Health, Health Care Policy and Aging Research (IHHCPAR)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Version of Record (VoR)
OriginInfo
DateIssued (encoding = w3cdtf)
2013
Abstract (type = Abstract)
Medical homes, an important component of U.S. health reform, were first developed to help families of children with special health care needs (CSHCN) find and coordinate services, and reduce their children's unmet need for health services. We hypothesize that CSHCN lacking medical homes are more likely than those with medical homes to report health system delivery or coverage problems as the specific reasons for unmet need.

Data are from the 2005-2006 National Survey of Children with Special Health Care Needs (NS-CSHCN), a national, population-based survey of 40,723 CSHCN. We studied whether lacking a medical home was associated with 9 specific reasons for unmet need for 11 types of medical services, controlling for health insurance, child's health, and sociodemographic characteristics.

Weighted to the national population, 17% of CSHCN reported at least one unmet health service need in the previous year. CSHCN without medical homes were 2 to 3 times as likely to report unmet need for child or family health services, and more likely to report no referral (OR= 3.3), dissatisfaction with provider (OR=2.5), service not available in area (OR= 2.1), can't find provider who accepts insurance (OR=1.8), and health plan problems (OR=1.4) as reasons for unmet need (all p<0.05).

CSHCN without medical homes were more likely than those with medical homes to report health system delivery or coverage reasons for unmet child health service needs. Attributable risk estimates suggest that if the 50% of CSHCN who lacked medical homes had one, overall unmet need for child health services could be reduced by as much as 35% and unmet need for family health services by 40%.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
10 p.
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2013
AssociatedObject
Name
PLOS ONE
Type
Journal
Relationship
Has part
Detail
e82570-
Identifier (type = volume and issue)
8(12)
Reference (type = url)
http://dx.doi.org/10.1371/journal.pone.0082570
Note (type = peerReview)
Peer reviewed.
Subject (authority = local)
Topic
Access to health care
Subject (authority = local)
Topic
Insurance
Subject (authority = local)
Topic
Quality of health care
Subject (authority = local)
Topic
Underinsurance
Subject (authority = local)
Topic
Expenditures
Subject (authority = local)
Topic
Costs
Subject (authority = local)
Topic
Children's health care
Subject (authority = local)
Topic
Medical homes
Subject (authority = local)
Topic
Family health services
RelatedItem (type = host)
TitleInfo
Title
Miller, Jane E.
Identifier (type = local)
rucore30207600001
RelatedItem (type = host)
TitleInfo
Title
Nugent, Colleen N.
Identifier (type = local)
rucore30207800001
RelatedItem (type = host)
TitleInfo
Title
Russell, Louise B.
Identifier (type = local)
rucore30207700001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3PK0J8C
Genre (authority = ExL-Esploro)
Journal Article
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RightsDeclaration (AUTHORITY = FS); (ID = rulibRdec0004)
Copyright for scholarly resources published in RUcore is retained by the copyright holder. By virtue of its appearance in this open access medium, you are free to use this resource, with proper attribution, in educational and other non-commercial settings. Other uses, such as reproduction or republication, may require the permission of the copyright holder.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers.Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work.I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others.I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work.By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
Document
CreatingApplication
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1.4
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2013-12-10T09:11:50
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2013-12-13T11:55:08
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Antenna House PDF Output Library 6.1.425 (Linux64)
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