1
40
1
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
September 2019 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
September 2019 List
URL Address
<a href="http://doi.org/10.1111/jnu.12499" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/jnu.12499</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Socioeconomic Status and Health Services Utilization for Children With Complex Chronic Conditions Liable to Receive Nurse-Led Services: A Cross-Sectional Study
Publisher
An entity responsible for making the resource available
Journal of Nursing Scholarship
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
Subject
The topic of the resource
chronic disease; Case management; child health services; healthcare disparities; hospice and palliative care nursing; multimorbidity; pediatric nursing; socioeconomic factors
Creator
An entity primarily responsible for making the resource
Perez-Ardanaz B; Morales-Asencio JM; Garcia-Pinero JM; Lupianez-Perez I; Morales-Gil IM; Kaknani-Uttumchandani S
Description
An account of the resource
AIM: To analyze the use of health services for children with severe chronic diseases, seeking to identify patterns of use according to sociodemographic and clinical conditions, and to identify unmet needs of care coordination that could benefit from nursing case management services. DESIGN: Cross-sectional study. METHODS: Children treated in ambulatory and hospital care in Granada, Spain, with complex chronic diseases in 2016 were analyzed to determine their use of healthcare resources. Socioeconomic variables were evaluated, along with clinical status and duration of their conditions. RESULTS: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63; 56.6% male). The average duration of the disease was 63.26 months (SD 54.09). The most common types of disease were neurological (35.80%), congenital (23.90%), and oncological (18.90%). Multivariate analysis showed that children in need of advanced care (beta = 0.71), with a relatively recent diagnosis (beta = -0.11), with criteria for palliative care 1 (beta = -0.26), and whose mothers were older (beta = 0.36) and had a higher educational level (beta = 0.19) made greater use of healthcare resources during the preceding 12 months, whether urgent or scheduled (r(2) = 78.0%, p < .001). CONCLUSIONS: Children with higher needs for advanced care have a heterogeneous use of healthcare resources depending on certain clinical and sociodemographic determinants. This finding highlights the importance of the identification of profiles of children and families for care coordination. The presence of sociodemographic determinants may need individualized approaches to assure a timely health care utilization. CLINICAL RELEVANCE: A significant proportion of the children used multiple health services, being treated at several centers simultaneously, and producing up to 139 total yearly contacts with the health system. Policymakers, healthcare providers, and patients' families should engage in a redesign of healthcare services for these children, providing comprehensive and coordinated systems of care for this population.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/jnu.12499" target="_blank" rel="noreferrer noopener">10.1111/jnu.12499</a>
Rights
Information about rights held in and over the resource
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).
2019
Case Management
Child Health Services
Chronic Disease
Garcia-Pinero JM
Healthcare Disparities
Hospice And Palliative Care Nursing
Journal Of Nursing Scholarship
Kaknani-Uttumchandani S
Lupianez-Perez I
Morales-Asencio JM
Morales-Gil IM
multimorbidity
Pediatric Nursing
Perez-Ardanaz B
September 2019 List
Socioeconomic Factors