التفاصيل البيبلوغرافية
| العنوان: |
Assessing Systems Quality in a Changing Health Care Environment: The 2009–10 National Survey of Children with Special Health Care Needs ; Matern Child Health J |
| المساهمون: |
Strickland, Bonnie B., Jones, Jessica R., Newacheck, Paul W., Bethell, Christina D., Blumberg, Stephen J., Kogan, Michael D. |
| المصدر: |
Matern Child Health J. 19(2):353-361. |
| المجموعة: |
CDC Stacks (Centers for Disease Control and Prevention) |
| مصطلحات موضوعية: |
Article, Children with special health care needs, Health care quality, Systems of care, Access, Disparities, Adolescent, Child, Child Health Services, Preschool, Confidence Intervals, Cross-Sectional Studies, Delivery of Health Care, Disabled Children, Female, Health Care Surveys, Health Services Accessibility, Health Services Needs and Demand, Humans, Infant, Newborn, Male, Minority Groups, Quality of Health Care, Risk Assessment, Socioeconomic Factors, United States, Vulnerable Populations |
| الوصف: |
To provide a national, population-based assessment of the quality of the health care system for children and youth with special health care needs using a framework of six health care system quality indicators. 49,242 interviews with parents of children with special health care needs from the 2009-10 National Survey of Children with Special Health Care Needs (NS-CSHCN) were examined to determine the extent to which CSHCN had access to six quality indicators of a well-functioning system of services. Criteria for determining access to each indicator were established and applied to the survey data to estimate the proportion of CSHCN meeting each quality indicator by socio-demographic status and functional limitations. 17.6% of CSHCN received care consistent with all six quality indicators. Results for each component of the system quality framework ranged from a high of 70.3% of parents reporting that they shared decision-making with healthcare providers to a low of 40% of parents reporting receipt of services needed for transition to adult health care. Attainment rates were lower for CSHCN of minority racial and ethnic groups, those residing in households where English was not the primary language, those in lower income households, and those most impacted by their health condition. Only a small proportion of CSHCN receive all identified attributes of a high-quality system of services. Moreover, significant disparities exist whereby those most impacted by their conditions and those in traditionally disadvantaged groups are served least well by the current system. A small proportion of CSHCN appear to remain essentially outside of the system, having met few if any of the elements studied. ; CC999999/Intramural CDC HHS/United States ; 2016-07-07T00:00:00Z ; 24912943 ; PMC4936897 |
| نوع الوثيقة: |
other/unknown material |
| اللغة: |
unknown |
| العلاقة: |
cdc:40406; http://stacks.cdc.gov/view/cdc/40406Test/ |
| الإتاحة: |
http://stacks.cdc.gov/view/cdc/40406Test/ |
| رقم الانضمام: |
edsbas.F282415F |
| قاعدة البيانات: |
BASE |
