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Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study

Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The...

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Autores principales: Pérez-Ardanaz, Bibiana, Peláez-Cantero, María José, González-Cano-Caballero, María, Gutiérrez-Rodríguez, Laura, Gómez-González, Alberto José, Lupiáñez-Pérez, Inmaculada, Morales-Asencio, José Miguel, Canca-Sánchez, José Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624513/
https://www.ncbi.nlm.nih.gov/pubmed/34828686
http://dx.doi.org/10.3390/children8110973
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author Pérez-Ardanaz, Bibiana
Peláez-Cantero, María José
González-Cano-Caballero, María
Gutiérrez-Rodríguez, Laura
Gómez-González, Alberto José
Lupiáñez-Pérez, Inmaculada
Morales-Asencio, José Miguel
Canca-Sánchez, José Carlos
author_facet Pérez-Ardanaz, Bibiana
Peláez-Cantero, María José
González-Cano-Caballero, María
Gutiérrez-Rodríguez, Laura
Gómez-González, Alberto José
Lupiáñez-Pérez, Inmaculada
Morales-Asencio, José Miguel
Canca-Sánchez, José Carlos
author_sort Pérez-Ardanaz, Bibiana
collection PubMed
description Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The use of these alternative health resources is sometimes unclear and may lead to health inequalities. To characterize the use made of alternative healthcare resources for children with complex chronic conditions. Additionally, we evaluate the influence of sociodemographic factors on the distribution of this utilization of resources; (2) Methods: Cross-sectional study. Children with complex chronic diseases were treated at a tertiary hospital in Granada, Spain in 2016. We analyzed their use of healthcare resources and socioeconomic variables. This research complies with STROBE guidelines for observational studies; (3) Results: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63). A total of 105 children (39.6%) attended private consultations with specialists, and 12.1% (n = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (n = 78), and 26% (n = 69) of the children used alternative therapies. Furthermore, 75.4% (n = 199) of the children received no psychological support. Children whose parents had a higher educational level and occupations status made greater use of parallel healthcare resources.; (4) Conclusions: A significant proportion of children used multiple health resources in addition to the public healthcare system depending on sociodemographic determinants. Studies are needed to determine whether the use of these alternative services achieves better levels of health.
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spelling pubmed-86245132021-11-27 Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study Pérez-Ardanaz, Bibiana Peláez-Cantero, María José González-Cano-Caballero, María Gutiérrez-Rodríguez, Laura Gómez-González, Alberto José Lupiáñez-Pérez, Inmaculada Morales-Asencio, José Miguel Canca-Sánchez, José Carlos Children (Basel) Article Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The use of these alternative health resources is sometimes unclear and may lead to health inequalities. To characterize the use made of alternative healthcare resources for children with complex chronic conditions. Additionally, we evaluate the influence of sociodemographic factors on the distribution of this utilization of resources; (2) Methods: Cross-sectional study. Children with complex chronic diseases were treated at a tertiary hospital in Granada, Spain in 2016. We analyzed their use of healthcare resources and socioeconomic variables. This research complies with STROBE guidelines for observational studies; (3) Results: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63). A total of 105 children (39.6%) attended private consultations with specialists, and 12.1% (n = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (n = 78), and 26% (n = 69) of the children used alternative therapies. Furthermore, 75.4% (n = 199) of the children received no psychological support. Children whose parents had a higher educational level and occupations status made greater use of parallel healthcare resources.; (4) Conclusions: A significant proportion of children used multiple health resources in addition to the public healthcare system depending on sociodemographic determinants. Studies are needed to determine whether the use of these alternative services achieves better levels of health. MDPI 2021-10-28 /pmc/articles/PMC8624513/ /pubmed/34828686 http://dx.doi.org/10.3390/children8110973 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pérez-Ardanaz, Bibiana
Peláez-Cantero, María José
González-Cano-Caballero, María
Gutiérrez-Rodríguez, Laura
Gómez-González, Alberto José
Lupiáñez-Pérez, Inmaculada
Morales-Asencio, José Miguel
Canca-Sánchez, José Carlos
Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_full Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_fullStr Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_full_unstemmed Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_short Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_sort utilization of parallel resources and sociodemographic factors in treating children with complex chronic diseases: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8624513/
https://www.ncbi.nlm.nih.gov/pubmed/34828686
http://dx.doi.org/10.3390/children8110973
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