Use of health services by chronically ill and disabled children
Child; Hospitalization; Humans; Socioeconomic Factors; Disabled Persons; School Nursing; adolescent; Preschool; Chronic disease; Statistics as Topic; Process Mapping; Child Health Services/utilization; Ohio; Dental Health Services/utilization; Mental Health Services/utilization; Occupational Therapy/utilization; Physical Therapy Modalities/utilization; Physicians/utilization; Social Work/utilization; Speech Therapy/utilization
Hospitalization and use of outpatient health care services during a 1-year period by 369 pediatric patients with cystic fibrosis, cerebral palsy, myelodysplasia, or multiple physical handicaps and 456 randomly selected children without congenital conditions from the Cleveland area were examined. Use of hospitalization and outpatient services by the average chronically ill or disabled child was 10 times that of the average comparison child. Physician specialists, occupational and physical therapists, and school nurses were the major outpatient categories used disproportionately by children with chronic illnesses or disabilities. The major share of health care used by children with chronic conditions was attributable to a small subset of children: All hospital care was accounted for by one third of the children, and three quarters of all outpatient care was accounted for by one quarter of that sample. Hospital care was used at similar rates by the four diagnostic groups. However, amount and type of outpatient care varied by diagnosis, level of functional impairment, race, and income. Estimated average expenditure for health services used by the chronically ill or disabled sample was 10 times that of the comparison sample. Relative distribution of estimated expenditures across types of services differed for the two samples as well as among diagnostic categories.
1984
Smyth-Staruch K; Breslau N; Weitzman M; Gortmaker S
Medical Care
1984
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/10.1097/00005650-198404000-00003" target="_blank" rel="noreferrer">10.1097/00005650-198404000-00003</a>
The use of mental health services in Ontario: epidemiologic findings
Female; Humans; Male; Adult; Logistic Models; Middle Aged; Socioeconomic Factors; Urban Population; adolescent; Ontario/epidemiology; Mental Health Services/utilization; Rural Population; Mental Disorders/diagnosis/epidemiology
OBJECTIVE: To describe the distribution and predictors of mental health service use for a survey of Ontario household residents aged 15 to 64 years. METHOD: Service use was defined as any past-year contact with formal or informal health care providers for mental health reasons. Data from the Mental Health Supplement (the Supplement) to the Ontario Mental Health Survey were used to compare the sociodemographic, geographic, and diagnostic status characteristics of service users with these characteristics among nonusers. RESULTS: Mental health services were used by 7.8% of respondents in the past year. The majority (57.8%) had a past-year University of Michigan Composite International Diagnostic Interview (UM-CIDI) diagnosis, although 27.1% had never met diagnostic criteria. Other significant predictors were marital status, household public assistance, gender, age, and urban/rural residence. CONCLUSION: Although diagnosis is the strongest predictor of use, the fit between "need" and "care" in Ontario is not perfect. Help seeking differs within specific sociodemographic and geographic groups. Furthermore, the association of marital disruption and economic disadvantage with utilization indicates that prevention and intervention should address needs beyond the medical or psychological.
1996
Lin E; Goering P; Offord DR; Campbell D; Boyle MH
Canadian Journal Of Psychiatry
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/10.1177/070674379604100905" target="_blank" rel="noreferrer">10.1177/070674379604100905</a>