MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (cover story)

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      524112 Direct group life, health and medical insurance carriers
      524111 Direct individual life, health and medical insurance carriers
    • Abstract:
      Children with special health care needs are believed to be susceptible to inequities in health and health care access. Within the group with special needs, there is a smaller group of children with medical complexity: children who require medical services beyond what is typically required by children with special health care needs. We describe health care inequities for the children with medical complexity compared to children with special health care needs but without medical complexity, based on a secondary analysis of data from the 2005-06 and 2009-10 National Survey of Children with Special Health Care Needs. The survey examines the prevalence, health care service use, and needs of children and youth with special care needs, as reported by their families. The inequities we examined were those based on race/ethnicity, primary language in the household, insurance type, and poverty status. We found that children with medical complexity were twice as likely to have at least one unmet need, compared to children without medical complexity. Among the children with medical complexity, unmet need was not associated with primary language, income level, or having Medicaid. We conclude that medical complexity itself can be a primary determinant of unmet needs. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Associate professor of pediatrics, University of Arkansas for Medical Sciences, Little Rock
      2Assistant professor of pediatrics, University of Arkansas for Medical Sciences
      3Associate professor of pediatrics, Hospital for Sick Children and University of Toronto, Ontario
      4Associate professor of pediatric and physical medicine and rehabilitation medicine, University of Pittsburgh, Pennsylvania
      5Assistant professor of pediatrics, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois
      6Assistant professor of pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
      7Associate professor of pediatrics, Cincinnati Children's Hospital Medical Center
      8Associate professor of pediatrics, University of Cincinnati, in Ohio
      9Executive director of Family Voices, Inc., Lexington, Massachusetts
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2014.0273
    • Accession Number:
      99905998
  • Citations
    • ABNT:
      KUO, D. Z. et al. MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover story). Health Affairs, [s. l.], v. 33, n. 12, p. 2190–2198, 2014. DOI 10.1377/hlthaff.2014.0273. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=99905998&custid=s8280428. Acesso em: 15 dez. 2019.
    • AMA:
      Kuo DZ, Goudie A, Cohen E, et al. MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover story). Health Affairs. 2014;33(12):2190-2198. doi:10.1377/hlthaff.2014.0273.
    • APA:
      Kuo, D. Z., Goudie, A., Cohen, E., Houtrow, A., Agrawal, R., Carle, A. C., & Wells, N. (2014). MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover story). Health Affairs, 33(12), 2190–2198. https://doi.org/10.1377/hlthaff.2014.0273
    • Chicago/Turabian: Author-Date:
      Kuo, Dennis Z., Anthony Goudie, Eyal Cohen, Amy Houtrow, Rishi Agrawal, Adam C. Carle, and Nora Wells. 2014. “MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover Story).” Health Affairs 33 (12): 2190–98. doi:10.1377/hlthaff.2014.0273.
    • Harvard:
      Kuo, D. Z. et al. (2014) ‘MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover story)’, Health Affairs, 33(12), pp. 2190–2198. doi: 10.1377/hlthaff.2014.0273.
    • Harvard: Australian:
      Kuo, DZ, Goudie, A, Cohen, E, Houtrow, A, Agrawal, R, Carle, AC & Wells, N 2014, ‘MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover story)’, Health Affairs, vol. 33, no. 12, pp. 2190–2198, viewed 15 December 2019, .
    • MLA:
      Kuo, Dennis Z., et al. “MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover Story).” Health Affairs, vol. 33, no. 12, Dec. 2014, pp. 2190–2198. EBSCOhost, doi:10.1377/hlthaff.2014.0273.
    • Chicago/Turabian: Humanities:
      Kuo, Dennis Z., Anthony Goudie, Eyal Cohen, Amy Houtrow, Rishi Agrawal, Adam C. Carle, and Nora Wells. “MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover Story).” Health Affairs 33, no. 12 (December 2014): 2190–98. doi:10.1377/hlthaff.2014.0273.
    • Vancouver/ICMJE:
      Kuo DZ, Goudie A, Cohen E, Houtrow A, Agrawal R, Carle AC, et al. MEDICALLY COMPLEX CHILDREN. Inequities In Health Care Needs For Children With Medical Complexity. (Cover story). Health Affairs [Internet]. 2014 Dec [cited 2019 Dec 15];33(12):2190–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=99905998&custid=s8280428