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>
An Unexpected Success Story: Transition to Adulthood in Youth With Chronic Physical Health Conditions.
Multivariate Analysis; Adolescent Transitions; ADULTHOOD; TEENAGERS -- Health & hygiene; UNEMPLOYMENT
We used data from the National Longitudinal Survey of Youth (NLSY; 1987) to examine the relationship between having a chronic physical health condition during youth (ages 14 to 21), and the subsequent transition to adulthood among a nationally representative sample (10,485), followed from 1979 to 1986. We controlled for theoretically important baseline characteristics of the youths and their families in multivariate regression models examining educational attainment, marriage, income, unemployment, and self-esteem. Analyses suggest that adolescents and young adults with chronic physical health conditions are at a slightly higher risk of problems in early adult life, but these effects are overshadowed by more potent social, economic, and demographic characteristics of both the youths and their families of origin. These results were unexpected; we had hypothesized a wide variety of mechanisms whereby individuals with chronic conditions would not perform as well as their healthy peers in
1993
Gortmaker SL; Perrin JM; Weitzman M; Homer CJ; Sobol Arthur M
Journal Of Research On Adolescence (lawrence Erlbaum)
1993
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