Browsing by Subject "CSHCN"
Now showing 1 - 3 of 3
- Results Per Page
- Sort Options
Item Factors Associated with Difficulty in Using the Community Based Services among Children with Special Health Care Needs(2009-12-01) Talasila, Sreelakshmi; Karan SinghDespite various advances in the health care system, children with special health care needs (CSHCN) face difficulty in accessing required services. The purpose of this study was to identify factors associated with difficulty in using community based services, individual barriers and institutional barriers for CSHCN. Data were obtained from National Survey of CSHCN 2005-06. The Andersen Health Behavioral Model was used to identify predisposing, enabling and need factors. Logistic regression was performed. Education, region, race/ethnicity, number of children, insurance and satisfaction with services were associated with community based services. Results suggest functional limitations and severity of illness are associated with difficulty in using community based services. Further investigation is required to improve health care system.Item HEALTHCARE ACCESS AND SATISFACTION WITH CARE BY INSURANCE TYPE AMONG CHILDREN WITH SPECIAL HEALTH CARE NEEDS: A SUMMARY REPORT AND KEY FINDINGS FROM NEW MEXICO(2014-03) Homan, Sharon; Bashyal, Richa; Akinyede, Oyinade; Roy, AninditaPurpose (a): This article reports new findings from the 2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN) regarding parental opinion on access to health care and satisfaction with care according to insurance type. The report highlights descriptive summary comparing findings from the state of New Mexico, one of the eight states of the Mountain States Genetics Regional Collaborative (MSGRC), to the entire mountain state region and to the nation. The focus is on New Mexico because demographically the state of New Mexico is found to be the underprivileged state in terms of its socioeconomic status. Methods (b): Data on 40,242 children included in the NS-CSHCN were used to create the baseline descriptive for the entire nation. A sub group for the MSGRC“REGION” was created with 6,334 observations, which included data from 8 states1. Finally, the analysis was narrowed down to only New Mexico to study the association between health care access and satisfaction with care by insurance type and impact of language barrier. Results (c): According to this national survey, 13.8% of children under age 17 in New Mexico have special healthcare needs compared to 15.1% nationwide1. The respondents are 50% more likely to be Hispanics and approximately 30% are living below the 100% Federal Poverty Level compared to the region and the nation. Families covered by public insurance expressed lower level of satisfaction with care thereby utilizing low quality of care as compared to those who are privately insured. Additionally, parents of Hispanic children whose household language is not English were almost 5 times more likely than their counterparts to go without a usual source of care. Conclusions (d): The findings indicate that those who are publicly insured expressed lower level of satisfaction with care compared to those who are privately insured. In addition, language barrier is another leading cause of diminished access to usual source of care. These conclusions suggest that the coverage of public insurance certainly needs to be revised in order to deliver high quality care for CSHCN targeting non-English speaking Hispanic households with low socio-economic status.Item UNMET PREVENTIVE DENTAL CARE NEEDS AMONG CHILDREN WITH SPECIAL HEALTHCARE NEEDS RESIDING IN THE MOUNTAIN STATES REGION(2014-03) Homan, Sharon; Roy, AninditaAbstract: Background: The Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (MCHB) have defined the Children with special health care needs (CSHCN) as “...those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally”. These conditions include low birth weight, metabolic disorders, extreme poverty, child abuse, and air pollution. 1 The NS-CSHCN 2009-2010 is the second largest survey of the health and health care experiences of the special children population along with the state-level comparisons. Objective: To report the magnitude of unmet preventive dental care needs and factors associated among Children with Special Health Care Needs residing in the mountain states. The Mountain States region includes Arizona, Colorado, Montana, New Mexico, Nevada, Texas, Utah and Wyoming Methods: We used the National Survey of Children with Special Health Care Needs (NS-CSHCN) 2009-2010.As a part of telephone survey, 40242 families were interviewed and 372,698 children between 0 and 17 years were screened. In this study, the primary outcome of interest was unmet preventive dental care needs, defined as whether CSHCN were said to have needed preventive dental care but were unable to obtain it. We analyzed the association between predictors and unmet preventive dental care needs using chi-square test and multiple logistic regression. Results: Overall, 89.6 % of CSHCN residing in Mountain States region were reported as having a need for preventive dental care in the past 12 months. Of those CSHCN who needed preventive dental care, 9.8 % did not receive all of the care they needed. After adjusting for gender, non-English language interview and, mother’s education level, the results suggested that uninsured CSHCN had 6 times greater odds of having unmet preventive dental care needs as compared to CSHCN with both insurance (public and private); 26.4% of the parents reported that the cost was unaffordable; 18% reported “no insurance” and 7.6% answered lack transport facilities as causes of unmet preventive dental care needs. Conclusion: Uninsured children, poorer children, children from Hispanic families and children with greater limitations attributable to disability residing in Mountain States region had significantly greater odds of unmet preventive dental care needs. Children with a personal doctor or nurse were significantly less likely to have unmet dental care needs. ABBREVIATIONS: CSHCN, children with special health care needs; FPL, federal poverty level; area; MCHB, Maternal and Child Health Bureau. Purpose (a): To report the magnitude of unmet preventive dental care needs and factors associated among Children with Special Health Care Needs residing in the mountain states. The Mountain States region includes Arizona, Colorado, Montana, New Mexico, Nevada, Texas, Utah and Wyoming. Methods (b): We used the National Survey of Children with Special Health Care Needs (NS-CSHCN) 2009-2010.As a part of telephone survey, 40242 families were interviewed and 372,698 children between 0 and 17 years were screened. In this study, the primary outcome of interest was unmet preventive dental care needs, defined as whether CSHCN were said to have needed preventive dental care but were unable to obtain it. We analyzed the association between predictors and unmet preventive dental care needs using chi-square test and multiple logistic regression. Results (c): Overall, 90.4 % of CSHCN residing in Mountain States region were reported as having a need for preventive dental care in the past 12 months. Of those CSHCN who needed preventive dental care, 9.8 % did not receive all of the care they needed in the region as compared to 8.9% in the nation. After adjusting for gender, non-English language interview and, mother’s education level, the results suggested that uninsured CSHCN had 5 times greater odds of having unmet preventive dental care needs as compared to CSHCN with both insurance (public and private); 26.4% of the parents reported that the cost was unaffordable; 18% reported “no insurance” and 7.6% answered lack transport facilities as causes of unmet preventive dental care needs. Conclusions (d): Uninsured children, poorer children, children from Hispanic families and children with greater limitations attributable to disability residing in Mountain States region had significantly greater odds of unmet preventive dental care needs. Children with a personal doctor or nurse were significantly less likely to have unmet dental care needs.