CSHCN with hearing difficulties: Disparities in access and quality of care

Autor: Michelle Koplitz, Reem M. Ghandour, Sadie Silcott, Jessica Minnaert, Mary Kay Kenney
Rok vydání: 2020
Předmět:
Male
Gerontology
Medical home
Adolescent
Health Services for Persons with Disabilities
Population
Children with special health care needs
Affect (psychology)
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
Patient-Centered Care
Surveys and Questionnaires
Health care
Humans
Medicine
Community Health Services
030212 general & internal medicine
Healthcare Disparities
Quality of care
Child
Hearing Loss
education
Quality of Health Care
education.field_of_study
Insurance
Health
business.industry
Infant
Newborn
Public Health
Environmental and Occupational Health
Infant
General Medicine
Child development
Disabled Children
United States
Language development
Cross-Sectional Studies
Caregivers
Child
Preschool
Female
business
Delivery of Health Care
030217 neurology & neurosurgery
Zdroj: Disability and Health Journal. 13:100798
ISSN: 1936-6574
DOI: 10.1016/j.dhjo.2019.04.002
Popis: Background Hearing difficulties (HD) affect a sizable minority of children in the United States and can have a significant impact on child development. Children with HD may face barriers around language development, communication abilities, learning, and social interactions, which in turn can affect multiple aspects of their lives. Objective/Hypothesis Little is known about the extent to which children with HD have access to a system of care and we hypothesize that this population may experience significant unmet needs. Methods In this cross-sectional study, using bivariate and multivariable regression models, we analyzed data from the 2009/2010 National Survey of Children with Special Health Care Needs (NS-CSHCN). Selected survey items were used to assess health and healthcare characteristics of CSHCN with some level of HD (n = 2,315) compared to those without HD (n = 37,851). The study sample included 40,242 CSHCN aged 0–17 years, whose caregivers responded to the survey. Results Approximately 694,000 CSHCN in the U.S. were reported to have any level of HD, representing 6.3% of the CSHCN population. Compared to CSHCN without HD, those with HD were less likely to have access to a medical home, community services, or have adequate health insurance. Conclusions Significant deficits in medical home access, adequate insurance, and accessibility of community-based services are evident for CSHCN with HD. Families having knowledge of how and when to access community services and partner with providers in their child's health care is important for the overall health and wellbeing of this subpopulation of CSHCN.
Databáze: OpenAIRE
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