[article]
Titre : |
The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Nancy C. CHEAK-ZAMORA, Auteur ; Janet E. FARMER, Auteur |
Article en page(s) : |
p.636-644 |
Langues : |
Anglais (eng) |
Mots-clés : |
Autism spectrum disorder Delivery of health care Unmet needs Medical home |
Index. décimale : |
PER Périodiques |
Résumé : |
Children with autism spectrum disorders (ASD) experience difficulty accessing health care services. Using parent-reported data from the 2009–2010 National Survey of Children with Special Health Care Needs, we examined whether having a medical home reduces unmet need for specialty care services for children with ASD (n = 3,055). Descriptive statistics and Chi square tests identified sample characteristics and examined the relationship between unmet needs and a standardized measure of medical home. Logistic regression models explored the individual impact of demographic, condition-specific and medical home variables on unmet need. Parents reported that nearly all children had a need for specialty services, 36 % had an unmet need, and 23.9 % had a medical home. Children who had fewer unmet needs were more likely to have received family-centered and coordinated care through a medical home, and this relationship remained significant even when demographic and condition-specific variables were taken into account. These findings suggest ways to improve access to care for children with ASD through enhanced family-centered and coordinated care within the medical home. |
En ligne : |
http://dx.doi.org/10.1007/s10803-014-2218-3 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258 |
in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.636-644
[article] The Impact of the Medical Home on Access to Care for Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Nancy C. CHEAK-ZAMORA, Auteur ; Janet E. FARMER, Auteur . - p.636-644. Langues : Anglais ( eng) in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.636-644
Mots-clés : |
Autism spectrum disorder Delivery of health care Unmet needs Medical home |
Index. décimale : |
PER Périodiques |
Résumé : |
Children with autism spectrum disorders (ASD) experience difficulty accessing health care services. Using parent-reported data from the 2009–2010 National Survey of Children with Special Health Care Needs, we examined whether having a medical home reduces unmet need for specialty care services for children with ASD (n = 3,055). Descriptive statistics and Chi square tests identified sample characteristics and examined the relationship between unmet needs and a standardized measure of medical home. Logistic regression models explored the individual impact of demographic, condition-specific and medical home variables on unmet need. Parents reported that nearly all children had a need for specialty services, 36 % had an unmet need, and 23.9 % had a medical home. Children who had fewer unmet needs were more likely to have received family-centered and coordinated care through a medical home, and this relationship remained significant even when demographic and condition-specific variables were taken into account. These findings suggest ways to improve access to care for children with ASD through enhanced family-centered and coordinated care within the medical home. |
En ligne : |
http://dx.doi.org/10.1007/s10803-014-2218-3 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258 |
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