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Reasons for Unmet Need for Child and Family Health Services among Children with Special Health Care Needs with and without Medical Homes

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  • Jane E Miller
  • Colleen N Nugent
  • Dorothy Gaboda
  • Louise B Russell

Abstract

Objectives: Medical homes, an important component of U.S. health reform, were first developed to help families of children with special health care needs (CSHCN) find and coordinate services, and reduce their children’s unmet need for health services. We hypothesize that CSHCN lacking medical homes are more likely than those with medical homes to report health system delivery or coverage problems as the specific reasons for unmet need. Methods: Data are from the 2005-2006 National Survey of Children with Special Health Care Needs (NS-CSHCN), a national, population-based survey of 40,723 CSHCN. We studied whether lacking a medical home was associated with 9 specific reasons for unmet need for 11 types of medical services, controlling for health insurance, child’s health, and sociodemographic characteristics. Results: Weighted to the national population, 17% of CSHCN reported at least one unmet health service need in the previous year. CSHCN without medical homes were 2 to 3 times as likely to report unmet need for child or family health services, and more likely to report no referral (OR= 3.3), dissatisfaction with provider (OR=2.5), service not available in area (OR= 2.1), can’t find provider who accepts insurance (OR=1.8), and health plan problems (OR=1.4) as reasons for unmet need (all p

Suggested Citation

  • Jane E Miller & Colleen N Nugent & Dorothy Gaboda & Louise B Russell, 2013. "Reasons for Unmet Need for Child and Family Health Services among Children with Special Health Care Needs with and without Medical Homes," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.
    • Handle: RePEc:plo:pone00:0082570
    DOI: 10.1371/journal.pone.0082570
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    1. מחקר - ביטוח לאומי, 2006. "Summary for 2005," Working Papers 29, National Insurance Institute of Israel.
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    1. Sally Bristow & Debra Jackson & Linda Shields & Kim Usher, 2018. "The rural mother's experience of caring for a child with a chronic health condition: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(13-14), pages 2558-2568, July.
    2. Natasa Popovic & Zorica Terzic-Supic & Snezana Simic & Biljana Mladenovic, 2017. "Predictors of unmet health care needs in Serbia; Analysis based on EU-SILC data," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-20, November.
    3. Okwori, Glory, 2022. "Prevalence and correlates of mental health disorders among children & adolescents in U.S," Children and Youth Services Review, Elsevier, vol. 136(C).

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