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Children With Special Needs: Social Determinants of Health and Care Coordination
Journal article   Peer reviewed

Children With Special Needs: Social Determinants of Health and Care Coordination

Aaron Pankewicz, Renee K Davis, John Kim, Richard Antonelli, Hannah Rosenberg, Zekarias Berhane and Renee M Turchi
Clinical pediatrics, v 59(13), pp 1161-1168
Nov 2020
DOI: https://doi.org/10.1177/0009922820941206
PMID: 32672059
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Child Child Health Services Cross-Sectional Studies Disabled Children - statistics & numerical data Female Health Care Surveys - methods Health Care Surveys - statistics & numerical data Health Services Accessibility - statistics & numerical data Health Services Needs and Demand - statistics & numerical data Humans Insurance, Health - statistics & numerical data Male Medically Uninsured - statistics & numerical data Needs Assessment - statistics & numerical data Poverty - statistics & numerical data Social Determinants of Health - statistics & numerical data Socioeconomic Factors United States
Care coordination (CC) facilitates access to resources/services for children/youth with special health care needs (CYSHCN). We conducted a cross-sectional analysis of the 2009-2010 National Survey of CSHCN to examine socioeconomic factors related to report of receiving adequate CC services for CYSHCN. Descriptive statistics were used to describe sociodemographic characteristics of respondents and examine socioeconomic factors. Receiving adequate CC varied by socioeconomic variables including income (100% to 199% federal poverty line [FPL]; aOR [adjusted odds ratio] = 0.848; 95% CI [confidence interval] = 0.722-0.997; < .05), insurance (uninsured; aOR = 0.446; 95% CI = 0.326-0.609; < .0001), and marital status (never married; aOR = 0.79; 95% CI = 0.64-0.97; < .05). More families reporting adequate CC had private insurance, non-Hispanic white ethnicity, income >400% federal poverty level, and 2-parent households. Findings suggest unmet needs in terms of adequate access or knowledge leading to insufficient provision of CC for families with the greatest needs. Further analysis identifying specific deficits and implementing strategies to address these disparities is warranted.

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29 citations in Web of Science
27 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Pediatrics
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