The economic burden of home care for children with HIV and other chronic illnesses
Child; Female; Humans; Male; Interviews as Topic; California; Cost of Illness; Health Care Costs; Chronic Disease/economics; disabled children; San Francisco; New York City; Home Care Services/economics; Caregivers/economics; HIV Infections/economics/nursing; Home Nursing/economics
OBJECTIVES: We compared types, amounts, and costs of home care for children with HIV and chronic illnesses, controlling for the basic care needs of healthy children to determine the economic burden of caring for and home care of chronically ill children. METHODS: Caregivers of 97 HIV-positive children, 101 children with a chronic illness, and 102 healthy children were surveyed regarding amounts of paid and unpaid care provided. Caregiving value was determined according to national hourly earnings and a market replacement method. RESULTS: Chronically ill children required significantly more care time than HIV-positive children (7.8 vs 3.9 hours per day). Paid care accounted for 8% to 16% of care time. Annual costs were $9300 per HIV-positive child and $25,900 per chronically ill child. Estimated national annual costs are $86.5 million for HIV-positive children and $155 to $279 billion for chronically ill children. CONCLUSIONS: Informal caregiving represents a substantial economic value to society. The total care burden among chronically ill children is higher than that among children with HIV.
2005
Wilson L; Moskowitz JT; Acree M; Heyman MB; Harmatz P; Ferrando SJ; Folkman S
American Journal Of Public Health
2005
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.2105/AJPH.2004.044248" target="_blank" rel="noreferrer">10.2105/AJPH.2004.044248</a>
Assessing mothers' attitudes about the physician's role in child health promotion
Child; Female; Humans; Adult; Attitude to Health; Questionnaires; Massachusetts; Physician's Role; Preschool; Adolescent Transitions; Child welfare; health promotion; Mothers/psychology/statistics & numerical data
OBJECTIVE: This study assessed maternal attitudes about the physician's role in child health promotion. METHODS: Home interviews were conducted with 200 Massachusetts mothers (with one child age 2 to 3 years) enrolled in a health maintenance organization. RESULTS: Mothers chose growth and nutrition, physical development, and illness as the most important topics and felt that providers have the ability to prevent problems and to help. Psychosocial and safety issues were less important, although mothers felt susceptible to these issues and believed they greatly affected children's health. CONCLUSIONS: On all issues, mothers believed physicians were more effective in helping families after, not before, problems arose. The Health Belief Model provided insight into attitudes and possible interventions.
1996
Cheng TL; Savageau JA; Bigelow C; Charney E; Kumar S; DeWitt TG
American Journal Of Public Health
1996
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Journal Article
<a href="http://doi.org/10.2105/ajph.86.12.1809" target="_blank" rel="noreferrer">10.2105/ajph.86.12.1809</a>