Comparing impact on the family and insurance coverage in children with cerebral palsy and children with another special healthcare need

Autor: Noelle G. Moreau, Gavin T. Colquitt, Manuela C. Caciula, Braydon Schaible, Alexis Carnes, Li Li
Rok vydání: 2017
Předmět:
Gerontology
Male
Financing
Personal
Adolescent
Population
Children with special health care needs
Special needs
Health Services Accessibility
Insurance Coverage
Cerebral palsy
03 medical and health sciences
0302 clinical medicine
Cost of Illness
Health care
Developmental and Educational Psychology
medicine
Humans
Impact on family
Family
030212 general & internal medicine
Child Care
education
Child
education.field_of_study
Health Services Needs and Demand
Insurance
Health
Medical Assistance
business.industry
Cerebral Palsy
Public Health
Environmental and Occupational Health
medicine.disease
Mental health
Disabled Children
United States
Caregivers
Health Care Surveys
Pediatrics
Perinatology and Child Health
Female
Health Services Research
Health Expenditures
business
030217 neurology & neurosurgery
Insurance coverage
Zdroj: Child: care, health and development. 44(3)
ISSN: 1365-2214
Popis: Background Families and caregivers of children with special healthcare needs (CSHCN) often experience financial difficulties, have unmet physical and mental health needs, and are at increased risk of marital problems due to the stress caused by carrying for their child. Within the larger population of CHSCN, young people with cerebral palsy (CP) have more unmet needs due to the complexity and potential severity of the disability. The purpose of this study was to identify factors associated with differences in insurance coverage and impact on the family of children with CP and other CHSCN. Methods The data were taken from the National Survey of Children with Special Health Care Needs, which was designed to examine state- and national-level estimates of CSHCN. Three variables examined differences in insurance coverage between those children diagnosed with CP versus all other CSHCN: insurance coverage for the previous year, current insurance coverage, and adequacy of insurance coverage. Four variables representing different indicators of family impact were used to assess differences between children with CP versus all other CSHCN: out-of-pocket expenses for healthcare, family financial burden, hours per week that family members spent caring for the child, and impact on family work life. Results The results of this study showed significant differences between households with a child with CP and a child with another health special need in terms of insurance coverage, indicating a tendency of children with CP to be insured the entire year. As for the impact on the family in households with children with CP versus other CSHCN, there were significant differences in all four variables that were analysed. Conclusions There is limited evidence highlighting differences between the impact of caring for a child with CP and caring for other CSHCN. Caring for a child with CP has a significant impact on the family, despite insurance coverage.
Databáze: OpenAIRE
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