Comparative Analysis of Health Care Needs among Children with Special Health Care Needs in Ohio’s Metropolitan and Appalachian Counties.
Autor: | Earley, Elizabeth, Asti, Lindsey, Chisolm, Deena |
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Předmět: |
MEDICAL care
CHI-squared test COMPARATIVE studies CONFIDENCE intervals HEALTH services accessibility HEALTH status indicators MEDICAID EVALUATION of medical care MEDICAL needs assessment METROPOLITAN areas POPULATION geography SURVEYS T-test (Statistics) LOGISTIC regression analysis SAMPLE size (Statistics) JUDGMENT sampling SOCIOECONOMIC factors DATA analysis software ODDS ratio |
Zdroj: | Journal of Health Care for the Poor & Underserved; Aug2015, Vol. 26 Issue 3, p668-675, 8p |
Abstrakt: | The study assessed whether children with special health care needs (CSHCN) living in Appalachian Ohio have differential health care utilization, unmet needs, and health outcomes compared with CSHCN in Ohio’s metropolitan counties using a statewide Ohio survey. Based on this survey, an estimated 28% of children in Appalachian Ohio counties have special health care needs compared with 25% of children in metropolitan counties. In Appalachia, CSHCN are poorer and more likely to have Medicaid than their metropolitan counterparts, but had no reported significant differences in health outcomes or unmet needs. Data suggested a trend toward higher use of emergency department care and inpatient services and lower use of well-child visits but these differences did not reach significance. We conclude that CSHCN in Appalachian and metropolitan areas face similar levels of health status and unmet needs but results suggest a need for additional research on access to primary care services. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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