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Differentiating Subgroups of Children with Special Health Care Needs by Health Status and Complexity of Health Care Needs

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Abstract

Objectives Our objective is to use the Children with Special Health Care Needs (CSHCN) Screener to identify subgroups of CSHCN differentiated by health status and complexity of need. Methods Data are from the National Survey of Children with Special Health Care Needs, 2001 and the National Survey of Children’s Health, 2003 (conducted by the Maternal and Child Health Bureau and the National Center for Health Statistics); and the 2001 and 2002 Medical Expenditure Panel Survey, conducted by the Agency for Healthcare Research and Quality. A broad array of variables measuring health status, complexity of need, and related issues are examined by subgroupings of CSHCN. Results Relative to other CSHCN, CSHCN with functional limitations or who qualify on more CSHCN Screener items have poorer health status and more complex health care needs. They more often experience a variety of health issues; their insurance is more often inadequate; the impact of their conditions on their families is higher; and their medical costs are higher. Conclusion In the absence of information on specific conditions, health status, or complexity of need, the CSHCN Screener alone can be used to create useful analytic subgroups that differ on these dimensions. The proposed subgroups, based on the type or number of CSHCN screening criteria, differentiate CSHCN by health status and complexity of health care needs, and also show differences in the impact of their conditions on their families, costs of their medical care, and prevalence of various health problems.

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Authors and Affiliations

  1. Division of Health Interview Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Hyattsville, MD, 20782, USA

    Matthew D. Bramlett & Stephen J. Blumberg

  2. Child and Adolescent Health Measurement Initiative, Oregon Health and Science University, Portland, OR, USA

    Debra Read & Christina Bethell

Authors
  1. Matthew D. Bramlett
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  2. Debra Read
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  3. Christina Bethell
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  4. Stephen J. Blumberg
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Corresponding author

Correspondence to Matthew D. Bramlett.

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Certification of ethical research: This material presents a secondary data analysis of a deidentified data set. Human subjects review was therefore not required for this study.

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Bramlett, M.D., Read, D., Bethell, C. et al. Differentiating Subgroups of Children with Special Health Care Needs by Health Status and Complexity of Health Care Needs. Matern Child Health J 13, 151–163 (2009). https://doi.org/10.1007/s10995-008-0339-z

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  • DOI: https://doi.org/10.1007/s10995-008-0339-z

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