Swipe om te navigeren naar een ander artikel
Children with autism spectrum disorders (ASD) experience difficulty accessing health care services. Using parent-reported data from the 2009–2010 National Survey of Children with Special Health Care Needs, we examined whether having a medical home reduces unmet need for specialty care services for children with ASD (n = 3,055). Descriptive statistics and Chi square tests identified sample characteristics and examined the relationship between unmet needs and a standardized measure of medical home. Logistic regression models explored the individual impact of demographic, condition-specific and medical home variables on unmet need. Parents reported that nearly all children had a need for specialty services, 36 % had an unmet need, and 23.9 % had a medical home. Children who had fewer unmet needs were more likely to have received family-centered and coordinated care through a medical home, and this relationship remained significant even when demographic and condition-specific variables were taken into account. These findings suggest ways to improve access to care for children with ASD through enhanced family-centered and coordinated care within the medical home.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Blumberg, S. J., Welch, E. M., Chowdhury, S. R., Upchurch, H. L., Parker, E. K., & Skalland, B. J. (2008). Design and operation of the National Survey of Children with Special Health Care Needs, 2005–2006. Vital and health statistics Ser 1, Programs and collection procedures, pp 1–188.
CDC. (2012). Prevalence of autism spectrum disorders–Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2008. MMWR Surveill Summary, 61, 1–19.
Child and Adolescent Health Measurement Initiative (2009a). Measuring medical home for children and youth A resource manual for child health program leaders, researchers and analysts (pp 1–55). Oregon Health and Science University.
Child and Adolescent Health Measurement Initiative (2009b). Measuring medical home for children and youth. A resource manual for child health program leaders, researchers and analysts. http://www.childhealthdata.org/docs/medical-home/mhmanual_withappendices-updated-12-7-10-pdf.
Child and Adolescent Health Measurement Initiative (2012) National profile of children with special health care needs and autism spectrum disorders: Key findings from the 2009/10 NS-CSHCN & 2007 NSCH. Data Resource Center.
Farmer, J. E., et al. (2013). The relationship between the medical home and unmet needs for children with autism spectrum disorders. Maternal and Child Health Journal,. doi: 10.1007/s10995-013-1292-z.
Gurney, J. G., McPheeters, M. L., & Davis, M. M. (2006). Parental report of health conditions and health care use among children with and without autism. Archives of Pediatrics, 160, 825–830. CrossRef
Health Resources and Services Administration, Maternal and Child Health Bureau, Conducted by the National Center for Health Statistics, Centers for Disease Control and Prevention (2011). 2009–2010 National Survey of Children with Special Health Care Needs. http://www.cdc.gov/nchs/data/slaits/NS_CSHCN_Questionnaire_09_10.pdf.
Howlin, P. (2005). Outcomes in autism spectrum disorders. In: Volkmar, F.R., Paul, R., Klin, A., & Cohen, D. (eds) Handbook of autism and pervasive developmental disorders. (Vol. 1, 3rd edn., pp 201–220). Hoboken, NJ: Wiley
Medicaid, C. f. M. (2012). CHIP eligibility standards. In. http://medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Childrens-Health-Insurance-Program-CHIP/CHIP-Eligibility-Standards-.html. Accessed July 26 2013.
Odom, S., Collet-Klingenberg, L., Rogers, S. J., & Hatton, D. D. (2010). Evidence-based practices in interventions for children and youth with autism spectrum disorders. Preventing School Failure: Alternative Education for Children and Youth, 54, 275–282. CrossRef
Pediatrics, A. A. o. (2013). National Center for Medical Home Implementation: Autism information. In. http://www.medicalhomeinfo.org/about/cocwd/autism.aspx. Accessed August 6 2013.
Taylor, E., Lake, T., Nysenbaum, J., Peterson, G., & Meyers, D. (2011). Coordinating care in the medical neighborhood: Critical components and available mechanisms. White paper AHRQ publication.
- The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders
Nancy C. Cheak-Zamora
Janet E. Farmer
- Springer US