Impact of Social Capital on the Availability of Health Care Services
| Autor: | Willie H. Oglesby, Sonia A. Alemagno, Jared R. Pennington |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Medical home
Leadership and Management Child Health Services Children with special health care needs Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Nursing Patient-Centered Care Health care Humans 030212 general & internal medicine Child Health policy Health Services Needs and Demand Continuum (measurement) business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Disabled Children Cross-Sectional Studies Social Capital 0305 other medical science business Psychology Psychosocial Delivery of Health Care Social capital |
| Zdroj: | Population health management. 24(3) |
| ISSN: | 1942-7905 |
| Popis: | Children with special health care needs (CSHCN) and their families experience many structural, financial, psychosocial, and physical obstacles to accessing and fully utilizing a continuum of health care services, including a myriad of contextual barriers that are unique to their local communities. Social capital is one contextual barrier hypothesized in the literature to reduce access to health care services. To better understand the role of social capital in accessing health care services for this vulnerable population, a study was constructed using data from a large representative sample of CSHCNs. The analysis was conducted on data collected through the National Survey of Children's Health, a cross-sectional study of child health that includes information on physical and mental health; access to health care; and neighborhood, school, and social context. Logistic regression analyses were performed on a reduced, complete data set containing only CSHCN (n = 32,496) using 5 medical home variables and an investigator-constructed social capital composite score. Social capital was not found to be a complete mediator of individual medical home characteristics; however, each increase in the social capital scale reduced the odds of experiencing a delay in care of overall health care services by 12.5% ( |
| Databáze: | OpenAIRE |
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