Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study

Autor: Jose Miguel Morales-Asencio, María José Peláez-Cantero, Bibiana Pérez-Ardanaz, José Carlos Canca-Sánchez, Laura Gutiérrez-Rodríguez, Alberto José Gómez-González, María González-Cano-Caballero, Inmaculada Lupiáñez-Pérez
Přispěvatelé: Universidad de Sevilla. Departamento de Enfermería, [Pérez-Ardanaz,B, Gutiérrez-Rodríguez,L, Gómez-González,AJ, Lupiáñez-Pérez,I, Morales-Asencio,JM, Canca-Sánchez,JC] Faculty of Health Sciences, Universidad de Málaga, Málaga, Spain. [Peláez-Cantero,MJ] Paediatric Palliative Care Unit, Hospital Regional Universitario de Málaga, Málaga, Spain. [González-Cano-Caballero,M] Faculty of Health Sciences, Universidad de Sevilla, Sevilla, Spain. [Lupiáñez-Pérez,I, Canca-Sánchez,JC] Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Cross-sectional study
Health Care::Population Characteristics::Demography::Health Status::Health Status Disparities [Medical Subject Headings]
Pediatrics
Social support
Health Care::Health Care Quality
Access
and Evaluation::Delivery of Health Care::Health Resources [Medical Subject Headings]
Health care
Medicine
Health Care::Health Care Quality
Access
and Evaluation::Delivery of Health Care::Health Expenditures [Medical Subject Headings]
Health Care::Population Characteristics::Socioeconomic Factors::Occupations [Medical Subject Headings]
Apoyo social
media_common
Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings]
Public health
Diseases::Pathological Conditions
Signs and Symptoms::Pathologic Processes::Disease Attributes::Chronic Disease [Medical Subject Headings]
public health
Factores socioeconómicos
Anthropology
Education
Sociology and Social Phenomena::Social Sciences::Sociology::Social Environment::Social Support [Medical Subject Headings]
alternative therapies
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings]
child health services
Mutual support
Multiple chronic conditions
Afecciones crónicas múltiples
Atención a la salud
Health Care::Health Care Facilities
Manpower
and Services::Health Facilities::Hospitals::Tertiary Care Centers [Medical Subject Headings]
medicine.medical_specialty
Inequality
media_common.quotation_subject
Terapias complementarias
Health Care::Health Services Administration::Organization and Administration::Professional Practice::Referral and Consultation [Medical Subject Headings]
Socioeconomic factors
RJ1-570
Article
Health Care::Health Care Economics and Organizations::Economics::Financing
Organized::Insurance::Insurance
Health [Medical Subject Headings]
and socioeconomic factors
Anthropology
Education
Sociology and Social Phenomena::Social Sciences::Sociology::Socioeconomic Factors [Medical Subject Headings]
Persons::Persons::Age Groups::Child [Medical Subject Headings]
Socioeconomic status
Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings]
Alternative therapies
business.industry
Servicios de salud del niño
multiple chronic conditions
social support
Child health services
Psychosocial support systems
psychosocial support systems
Family medicine
Pediatrics
Perinatology and Child Health
Sistemas de apoyo psicosocial
Observational study
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Complementary Therapies [Medical Subject Headings]
business
Persons::Persons::Parents [Medical Subject Headings]
Zdroj: Children
Volume 8
Issue 11
Children, Vol 8, Iss 973, p 973 (2021)
ISSN: 2227-9067
Popis: Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The use of these alternative health resources is sometimes unclear and may lead to health inequalities. To characterize the use made of alternative healthcare resources for children with complex chronic conditions. Additionally, we evaluate the influence of sociodemographic factors on the distribution of this utilization of resources
(2) Methods: Cross-sectional study. Children with complex chronic diseases were treated at a tertiary hospital in Granada, Spain in 2016. We analyzed their use of healthcare resources and socioeconomic variables. This research complies with STROBE guidelines for observational studies
(3) Results: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63). A total of 105 children (39.6%) attended private consultations with specialists, and 12.1% (n = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (n = 78), and 26% (n = 69) of the children used alternative therapies. Furthermore, 75.4% (n = 199) of the children received no psychological support. Children whose parents had a higher educational level and occupations status made greater use of parallel healthcare resources.
(4) Conclusions: A significant proportion of children used multiple health resources in addition to the public healthcare system depending on sociodemographic determinants. Studies are needed to determine whether the use of these alternative services achieves better levels of health.
Databáze: OpenAIRE
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