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Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder

Background. The proportion of US children with special health care needs (CSHCN) with epilepsy/seizure disorder who receive care in high-quality health service systems was examined. Methodology. We analyzed data for 40,242 CSHCN from the 2009-2010 National Survey of CSHCN and compared CSHCN with epi...

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Autores principales: Kenney, Mary Kay, Mann, Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3818841/
https://www.ncbi.nlm.nih.gov/pubmed/24228175
http://dx.doi.org/10.1155/2013/825824
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author Kenney, Mary Kay
Mann, Marie
author_facet Kenney, Mary Kay
Mann, Marie
author_sort Kenney, Mary Kay
collection PubMed
description Background. The proportion of US children with special health care needs (CSHCN) with epilepsy/seizure disorder who receive care in high-quality health service systems was examined. Methodology. We analyzed data for 40,242 CSHCN from the 2009-2010 National Survey of CSHCN and compared CSHCN with epilepsy/seizure disorder to CSHCN without epilepsy/seizure disorder. Measures included attainment rates for 6 federal quality indicators with comparisons conducted using chi square and logistic regression methods. In addition, CSHCN with epilepsy/seizure disorder were compared to CSHCN without epilepsy/seizure disorder on the basis of 14 unmet health care needs. Results. Lower attainment rates for receiving comprehensive care in a medical home and easily accessible community-based services were found for CSHCN with epilepsy/seizure disorder versus CSHCN without epilepsy/seizure disorder (medical home: 32% versus 43%; accessible community-based services: 50% versus 66%, resp.) in unadjusted analyses. Lower adjusted odds for these indicators as well as greater unmet need for specialists, dentistry, prescriptions, therapies, and mental health care were also found for CSHCN with epilepsy/seizure disorder. Conclusions. Further efforts are needed to improve attainment of high-quality health care services for CSHCN with epilepsy/seizure disorders.
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spelling pubmed-38188412013-11-13 Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder Kenney, Mary Kay Mann, Marie Epilepsy Res Treat Research Article Background. The proportion of US children with special health care needs (CSHCN) with epilepsy/seizure disorder who receive care in high-quality health service systems was examined. Methodology. We analyzed data for 40,242 CSHCN from the 2009-2010 National Survey of CSHCN and compared CSHCN with epilepsy/seizure disorder to CSHCN without epilepsy/seizure disorder. Measures included attainment rates for 6 federal quality indicators with comparisons conducted using chi square and logistic regression methods. In addition, CSHCN with epilepsy/seizure disorder were compared to CSHCN without epilepsy/seizure disorder on the basis of 14 unmet health care needs. Results. Lower attainment rates for receiving comprehensive care in a medical home and easily accessible community-based services were found for CSHCN with epilepsy/seizure disorder versus CSHCN without epilepsy/seizure disorder (medical home: 32% versus 43%; accessible community-based services: 50% versus 66%, resp.) in unadjusted analyses. Lower adjusted odds for these indicators as well as greater unmet need for specialists, dentistry, prescriptions, therapies, and mental health care were also found for CSHCN with epilepsy/seizure disorder. Conclusions. Further efforts are needed to improve attainment of high-quality health care services for CSHCN with epilepsy/seizure disorders. Hindawi Publishing Corporation 2013 2013-10-21 /pmc/articles/PMC3818841/ /pubmed/24228175 http://dx.doi.org/10.1155/2013/825824 Text en Copyright © 2013 M. K. Kenney and M. Mann. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kenney, Mary Kay
Mann, Marie
Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder
title Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder
title_full Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder
title_fullStr Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder
title_full_unstemmed Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder
title_short Assessing Systems of Care for US Children with Epilepsy/Seizure Disorder
title_sort assessing systems of care for us children with epilepsy/seizure disorder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3818841/
https://www.ncbi.nlm.nih.gov/pubmed/24228175
http://dx.doi.org/10.1155/2013/825824
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