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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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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. |
format | Online Article Text |
id | pubmed-3818841 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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