Caring for Children with Special Health Care Needs: Profiling Pediatricians and Their Health Care Resources

Caring for Children with Special Health Care Needs: Profiling Pediatricians and Their Health Care... Background and Objectives Pediatricians face numerous challenges in providing care for children with special health care needs (CSHCN). Few studies have described health care resources available to support pediatricians to care for CSHCN. This study investigated available resources to care for CSHCN and factors associated with having a greater proportion of CSHCN in practice. Methods We conducted a statewide survey of active members of the American Academy of Pediatrics in California to study pediatric subspecialty care access, community and office resources and practice barriers. We performed a logistic regression model on having an “above average proportion” of CSHCN in practice, adjusting for demographics, practice type (rural vs. suburban/urban) and medical resources, care satisfaction, and ease of subspecialty access. Results Our response rate was 50.2% (n = 1290); 75% of respondents reported providing some primary care services, with many primary care pediatricians caring for a high proportion of CSHCN. Pediatricians reported an average of 28% CSHCN in their practices. Rural pediatricians lacked subspecialty access (10–59% reporting no access to the various subspecialties). Factors relating to higher CSHCN in practice included being in academic medical centers and satisfaction in caring for CSHCN. Conclusions Pediatricians report lack of access to mental health services, care coordination and case management. Academic medical centers and higher physician satisfaction in care delivery for CSHCN are associated with more CSHCN in practice. Promoting ways to support pediatricians, such as practice collaboration with behavioral specialists, may be necessary to encourage primary care pediatricians to provide medical homes for CSHCN. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Maternal and Child Health Journal Springer Journals

Caring for Children with Special Health Care Needs: Profiling Pediatricians and Their Health Care Resources

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health
ISSN
1092-7875
eISSN
1573-6628
D.O.I.
10.1007/s10995-018-2484-3
Publisher site
See Article on Publisher Site

Abstract

Background and Objectives Pediatricians face numerous challenges in providing care for children with special health care needs (CSHCN). Few studies have described health care resources available to support pediatricians to care for CSHCN. This study investigated available resources to care for CSHCN and factors associated with having a greater proportion of CSHCN in practice. Methods We conducted a statewide survey of active members of the American Academy of Pediatrics in California to study pediatric subspecialty care access, community and office resources and practice barriers. We performed a logistic regression model on having an “above average proportion” of CSHCN in practice, adjusting for demographics, practice type (rural vs. suburban/urban) and medical resources, care satisfaction, and ease of subspecialty access. Results Our response rate was 50.2% (n = 1290); 75% of respondents reported providing some primary care services, with many primary care pediatricians caring for a high proportion of CSHCN. Pediatricians reported an average of 28% CSHCN in their practices. Rural pediatricians lacked subspecialty access (10–59% reporting no access to the various subspecialties). Factors relating to higher CSHCN in practice included being in academic medical centers and satisfaction in caring for CSHCN. Conclusions Pediatricians report lack of access to mental health services, care coordination and case management. Academic medical centers and higher physician satisfaction in care delivery for CSHCN are associated with more CSHCN in practice. Promoting ways to support pediatricians, such as practice collaboration with behavioral specialists, may be necessary to encourage primary care pediatricians to provide medical homes for CSHCN.

Journal

Maternal and Child Health Journal – Springer Journals

Published: Mar 1, 2018

References

  • Barriers to care for children and youth with special health care needs: perceptions of Illinois pediatricians
    Agrawal, R; Shah, P; Zebracki, K; Sanabria, K; Kohrman, C; Kohrman, AF
  • The capacity of primary care pediatricians to care for children with special health care needs
    Agrawal, R; Shah, P; Zebracki, K; Sanabria, K; Kohrman, C; Kohrman, AF
  • Children with medical complexity and Medicaid: spending and cost savings
    Berry, JG; Hall, M; Neff, J
  • What is the prevalence of children with special health care needs? Toward an understanding of variations in findings and methods across three national surveys
    Bethell, CD; Read, D; Blumberg, SJ; Newacheck, PW
  • Care coordination and unmet specialty care among children with special health care needs
    Boudreau, AA; Perrin, JM; Goodman, E; Kurowski, D; Cooley, WC; Kuhlthau, K
  • Universal health care coverage for children: Impact on pediatric health care providers
    Chamberlain, LJ; Hughes, DC; Bishop, JS; Matsuda, DH; Sassoubre, L
  • Building medical homes: Improvement strategies in primary care for children with special health care needs
    Cooley, WC; McAllister, JW
  • Reported response rates to mailed physician questionnaires
    Cummings, SM; Savitz, LA; Konrad, TR
  • Assuring children’s access to pediatric subspecialty care in California
    Gans, DBM; Ramirez, M; Cabezas, L; Pourat, N
  • Financial and nonfinancial burden among families of CSHCN: Changes between 2001 and 2009–2010
    Ghandour, RM; Hirai, AH; Blumberg, SJ; Strickland, BB; Kogan, MD
  • Montana primary care providers’ access to and satisfaction with pediatric specialists when caring for children with special health care needs
    Hardy, R; Vivier, P; Rivara, F; Melzer, S
  • A review of the evidence for the medical home for children with special health care needs
    Homer, CJ; Klatka, K; Romm, D
  • Division of Health Care Services. Committee on the Future of Primary Care., Donaldson MS. Primary care: America’s health in a new era
  • A national profile of caregiver challenges among more medically complex children with special health care needs
    Kuo, DZ; Cohen, E; Agrawal, R; Berry, JG; Casey, PH
  • Care coordination, the family-centered medical home, and functional disability among children with special health care needs
    Litt, JS; McCormick, MC
  • Using telemedicine to provide pediatric subspecialty care to children with special health care needs in an underserved rural community
    Marcin, JP; Ellis, J; Mawis, R; Nagrampa, E; Nesbitt, TS; Dimand, RJ
  • Medical homes for children with special health care needs: A program evaluation
    Martin, AB; Crawford, S; Probst, JC
  • A survey of the preferences of primary care physicians regarding the comanagement with specialists of children with rare or complex conditions
    McClain, MR; Cooley, WC; Keirns, T; Smith, A
  • A new definition of children with special health care needs
    McPherson, M; Arango, P; Fox, H
  • Reasons for unmet need for child and family health services among children with special health care needs with and without medical homes
    Miller, JE; Nugent, CN; Gaboda, D; Russell, LB
  • Medical home and out-of-pocket medical costs for children with special health care needs
    Porterfield, SL; DeRigne, L
  • Supply and utilization of pediatric subspecialists in the United States
    Ray, KN; Bogen, DL; Bertolet, M; Forrest, CB; Mehrotra, A
  • Optimizing telehealth strategies for subspecialty care: Recommendations from rural pediatricians
    Ray, KN; Demirci, JR; Bogen, DL; Mehrotra, A; Miller, E
  • The medical home: Health care access and impact for children and youth in the United States
    Strickland, BB; Jones, JR; Ghandour, RM; Kogan, MD; Newacheck, PW
  • Medical homes for children with special health care needs: Primary care or subspecialty service?
    Cleave, J; Okumura, MJ; Swigonski, N; O’Connor, KG; Mann, M; Lail, JL

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