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Health Care Utilization for Privately and Publicly Insured Children During Autism Insurance Reform / Wanqing ZHANG in Journal of Autism and Developmental Disorders, 52-11 (November 2022)
[article]
Titre : Health Care Utilization for Privately and Publicly Insured Children During Autism Insurance Reform Type de document : Texte imprimé et/ou numérique Auteurs : Wanqing ZHANG, Auteur ; Kelsey L. THOMPSON, Auteur ; Linda R. WATSON, Auteur ; Doré R. LAFORETT, Auteur Article en page(s) : p.5042-5049 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/therapy Autistic Disorder/therapy Child Health Services Accessibility Humans Insurance Coverage Insurance, Health Medicaid Patient Acceptance of Health Care United States Autism insurance reform Autism spectrum disorder (ASD) Insurance type Privately insured children Utilization of health services Index. décimale : PER Périodiques Résumé : We examined the effects of insurance type on health service utilization among children with autism spectrum disorder (ASD) following autism insurance reform by analyzing the most recent data from the 2019 National Survey of Children's Health. Families with private insurance were less likely to report that their health insurance covered needed services compared to families with public insurance. Privately versus publicly insured children were not significantly different in receiving behavioral or medication treatment, or in parental frustration in efforts to obtain services. However, parents' frustration escalated with increased ASD severity. Findings from this study suggest the need for continuing to improve implementation of health insurance reform legislation and providing adequate ASD-related services for children with private insurance. En ligne : http://dx.doi.org/10.1007/s10803-021-05370-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489
in Journal of Autism and Developmental Disorders > 52-11 (November 2022) . - p.5042-5049[article] Health Care Utilization for Privately and Publicly Insured Children During Autism Insurance Reform [Texte imprimé et/ou numérique] / Wanqing ZHANG, Auteur ; Kelsey L. THOMPSON, Auteur ; Linda R. WATSON, Auteur ; Doré R. LAFORETT, Auteur . - p.5042-5049.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-11 (November 2022) . - p.5042-5049
Mots-clés : Autism Spectrum Disorder/therapy Autistic Disorder/therapy Child Health Services Accessibility Humans Insurance Coverage Insurance, Health Medicaid Patient Acceptance of Health Care United States Autism insurance reform Autism spectrum disorder (ASD) Insurance type Privately insured children Utilization of health services Index. décimale : PER Périodiques Résumé : We examined the effects of insurance type on health service utilization among children with autism spectrum disorder (ASD) following autism insurance reform by analyzing the most recent data from the 2019 National Survey of Children's Health. Families with private insurance were less likely to report that their health insurance covered needed services compared to families with public insurance. Privately versus publicly insured children were not significantly different in receiving behavioral or medication treatment, or in parental frustration in efforts to obtain services. However, parents' frustration escalated with increased ASD severity. Findings from this study suggest the need for continuing to improve implementation of health insurance reform legislation and providing adequate ASD-related services for children with private insurance. En ligne : http://dx.doi.org/10.1007/s10803-021-05370-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489 Healthcare access and services use among US children with autism spectrum disorder / O. J. LINDLY in Autism, 23-6 (August 2019)
[article]
Titre : Healthcare access and services use among US children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : O. J. LINDLY, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Karen A. KUHLTHAU, Auteur Article en page(s) : p.1419-1430 Langues : Anglais (eng) Mots-clés : autism spectrum disorder emergency medical services ethnicity health services accessibility healthcare disparities preventive health services race socioeconomic status Index. décimale : PER Périodiques Résumé : This study aimed to determine associations of healthcare access problems with services use among US children with autism spectrum disorder. We analyzed 2011-2014 National Health Interview Survey data on 651 children with autism spectrum disorder aged 2-17 years. There were three measures of healthcare access problems: (1) delays accessing healthcare, (2) difficulty affording healthcare, and (3) trouble finding a primary care provider. There were five service use measures: (1) 4 office visits, (2) 1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) 1 emergency department visit. Multivariable regression models estimated associations of 1 healthcare access problem with each service use variable and effect modification by socioeconomic status and race and ethnicity. Twenty-nine percent of children with autism spectrum disorder had 1 healthcare access problem. Having 1 healthcare access problem was associated with lower adjusted odds of 1 well-child visit or prescription medication use but higher adjusted odds of 4 office visits or 1 emergency department visit. No significant association was found for flu vaccine. Associations of healthcare access problems with emergency department use were most pronounced for higher socioeconomic status and White, non-Hispanic subgroups. Intervention, such as insurance expansion, is needed to improve healthcare access for children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361318815237 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403
in Autism > 23-6 (August 2019) . - p.1419-1430[article] Healthcare access and services use among US children with autism spectrum disorder [Texte imprimé et/ou numérique] / O. J. LINDLY, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Karen A. KUHLTHAU, Auteur . - p.1419-1430.
Langues : Anglais (eng)
in Autism > 23-6 (August 2019) . - p.1419-1430
Mots-clés : autism spectrum disorder emergency medical services ethnicity health services accessibility healthcare disparities preventive health services race socioeconomic status Index. décimale : PER Périodiques Résumé : This study aimed to determine associations of healthcare access problems with services use among US children with autism spectrum disorder. We analyzed 2011-2014 National Health Interview Survey data on 651 children with autism spectrum disorder aged 2-17 years. There were three measures of healthcare access problems: (1) delays accessing healthcare, (2) difficulty affording healthcare, and (3) trouble finding a primary care provider. There were five service use measures: (1) 4 office visits, (2) 1 well-child visit, (3) flu vaccine, (4) prescription medication, and (5) 1 emergency department visit. Multivariable regression models estimated associations of 1 healthcare access problem with each service use variable and effect modification by socioeconomic status and race and ethnicity. Twenty-nine percent of children with autism spectrum disorder had 1 healthcare access problem. Having 1 healthcare access problem was associated with lower adjusted odds of 1 well-child visit or prescription medication use but higher adjusted odds of 4 office visits or 1 emergency department visit. No significant association was found for flu vaccine. Associations of healthcare access problems with emergency department use were most pronounced for higher socioeconomic status and White, non-Hispanic subgroups. Intervention, such as insurance expansion, is needed to improve healthcare access for children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361318815237 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 Needs assessment in unmet healthcare and family support services: A survey of caregivers of children and youth with autism spectrum disorder in Delaware / S. SRINIVASAN in Autism Research, 14-8 (August 2021)
[article]
Titre : Needs assessment in unmet healthcare and family support services: A survey of caregivers of children and youth with autism spectrum disorder in Delaware Type de document : Texte imprimé et/ou numérique Auteurs : S. SRINIVASAN, Auteur ; A. EKBLADH, Auteur ; B. FREEDMAN, Auteur ; Anjana N. BHAT, Auteur Article en page(s) : p.1736-1758 Langues : Anglais (eng) Mots-clés : Activities of Daily Living Adolescent Autism Spectrum Disorder/therapy Caregivers Child Counseling Delaware Health Services Accessibility Health Services Needs and Demand Humans Needs Assessment Autism Spectrum Disorder caregivers children and youth family support healthcare needs assessment unmet needs declare. Index. décimale : PER Périodiques Résumé : The study aimed to collect data from families of children and youth with Autism Spectrum Disorder (ASD) in the state of Delaware, USA to understand their ongoing needs and challenges in accessing child healthcare and family support services. We analyzed responses from 263 caregivers of children and youth with ASD from 3 to 24?years using a statewide needs assessment survey. Over 50% caregivers indicated having unmet needs relative to both child/youth healthcare services and family support services. Between 24 and 38% caregivers expressed unmet needs for healthcare services such as social skills training, speech-language therapy, behavioral intervention, and occupational therapy for their child and 20-24% expressed needs for family support services such as respite care, parent/sibling support groups, counseling, and babysitting support. Additionally, number of prior early interventions received, limitations in accessing healthcare services, and unmet needs for family support services significantly predicted child/youth unmet healthcare needs. Greater ASD severity and difficulties accessing child/youth healthcare services predicted participant's functional dependence on caregivers for activities of daily living. Together, these findings call for designing holistic, family-centered interventions that address needs of both children and youth with ASD and their families. LAY SUMMARY: A statewide needs assessment survey of caregivers of children and youth with ASD revealed that 50% responders had unmet needs relative to both child/youth healthcare services and family support services. Number of prior services received, limitations in accessing healthcare, and unmet needs for family support are linked to child/youth unmet healthcare needs. Severity of autism and difficulties accessing child/youth healthcare are associated with participant's functional dependence. Together, these findings call for placing the family at the heart of the service system in ASD. En ligne : http://dx.doi.org/10.1002/aur.2514 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449
in Autism Research > 14-8 (August 2021) . - p.1736-1758[article] Needs assessment in unmet healthcare and family support services: A survey of caregivers of children and youth with autism spectrum disorder in Delaware [Texte imprimé et/ou numérique] / S. SRINIVASAN, Auteur ; A. EKBLADH, Auteur ; B. FREEDMAN, Auteur ; Anjana N. BHAT, Auteur . - p.1736-1758.
Langues : Anglais (eng)
in Autism Research > 14-8 (August 2021) . - p.1736-1758
Mots-clés : Activities of Daily Living Adolescent Autism Spectrum Disorder/therapy Caregivers Child Counseling Delaware Health Services Accessibility Health Services Needs and Demand Humans Needs Assessment Autism Spectrum Disorder caregivers children and youth family support healthcare needs assessment unmet needs declare. Index. décimale : PER Périodiques Résumé : The study aimed to collect data from families of children and youth with Autism Spectrum Disorder (ASD) in the state of Delaware, USA to understand their ongoing needs and challenges in accessing child healthcare and family support services. We analyzed responses from 263 caregivers of children and youth with ASD from 3 to 24?years using a statewide needs assessment survey. Over 50% caregivers indicated having unmet needs relative to both child/youth healthcare services and family support services. Between 24 and 38% caregivers expressed unmet needs for healthcare services such as social skills training, speech-language therapy, behavioral intervention, and occupational therapy for their child and 20-24% expressed needs for family support services such as respite care, parent/sibling support groups, counseling, and babysitting support. Additionally, number of prior early interventions received, limitations in accessing healthcare services, and unmet needs for family support services significantly predicted child/youth unmet healthcare needs. Greater ASD severity and difficulties accessing child/youth healthcare services predicted participant's functional dependence on caregivers for activities of daily living. Together, these findings call for designing holistic, family-centered interventions that address needs of both children and youth with ASD and their families. LAY SUMMARY: A statewide needs assessment survey of caregivers of children and youth with ASD revealed that 50% responders had unmet needs relative to both child/youth healthcare services and family support services. Number of prior services received, limitations in accessing healthcare, and unmet needs for family support are linked to child/youth unmet healthcare needs. Severity of autism and difficulties accessing child/youth healthcare are associated with participant's functional dependence. Together, these findings call for placing the family at the heart of the service system in ASD. En ligne : http://dx.doi.org/10.1002/aur.2514 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449 Barriers to Professional Dental Care among Children with Autism Spectrum Disorder / Abdulmonem A. ALSHIHRI in Journal of Autism and Developmental Disorders, 51-8 (August 2021)
[article]
Titre : Barriers to Professional Dental Care among Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Abdulmonem A. ALSHIHRI, Auteur ; Mansour H. AL-ASKAR, Auteur ; Mohammed S. ALDOSSARY, Auteur Article en page(s) : p.2988-2994 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder Child Child, Preschool Dental Care Female Health Services Accessibility Humans Male Parents Surveys and Questionnaires Autism spectrum disorder Dental care Dental health services Health services accessibility Pediatric dentistry Index. décimale : PER Périodiques Résumé : Aims were to: (1) investigate the parental difficulties toward their ASD children dental care and, (2) analyze factors influencing their access to such services. Questionnaires were completed by 142 mothers of ASD children. Children aged between 2.5 and 14 years old, with 3.9:1 male to female ratio. 68.3% perceived difficulties in finding dental care. Most barriers were: Cost (75.4%), finding a dentist to treat ASD child (74.6%), and behavior of their ASD child (45.1%). There was no difference among age and "difficulty finding dental care" (p?=?0.429). Having medical insurance and previous bad experience showed significant effects on the difficulty in finding dental care (p?0.05). Children with ASD and their parents encounter various barriers to dental services. En ligne : http://dx.doi.org/10.1007/s10803-020-04759-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2988-2994[article] Barriers to Professional Dental Care among Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Abdulmonem A. ALSHIHRI, Auteur ; Mansour H. AL-ASKAR, Auteur ; Mohammed S. ALDOSSARY, Auteur . - p.2988-2994.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2988-2994
Mots-clés : Adolescent Autism Spectrum Disorder Child Child, Preschool Dental Care Female Health Services Accessibility Humans Male Parents Surveys and Questionnaires Autism spectrum disorder Dental care Dental health services Health services accessibility Pediatric dentistry Index. décimale : PER Périodiques Résumé : Aims were to: (1) investigate the parental difficulties toward their ASD children dental care and, (2) analyze factors influencing their access to such services. Questionnaires were completed by 142 mothers of ASD children. Children aged between 2.5 and 14 years old, with 3.9:1 male to female ratio. 68.3% perceived difficulties in finding dental care. Most barriers were: Cost (75.4%), finding a dentist to treat ASD child (74.6%), and behavior of their ASD child (45.1%). There was no difference among age and "difficulty finding dental care" (p?=?0.429). Having medical insurance and previous bad experience showed significant effects on the difficulty in finding dental care (p?0.05). Children with ASD and their parents encounter various barriers to dental services. En ligne : http://dx.doi.org/10.1007/s10803-020-04759-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond / Stephanie H. AMEIS in Molecular Autism, 11 (2020)
[article]
Titre : Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond Type de document : Texte imprimé et/ou numérique Auteurs : Stephanie H. AMEIS, Auteur ; Meng-Chuan LAI, Auteur ; Benoit H. MULSANT, Auteur ; Peter SZATMARI, Auteur Article en page(s) : 61 p. Langues : Anglais (eng) Mots-clés : Adaptation, Psychological Autistic Disorder/psychology Coronavirus Infections/therapy Health Services Accessibility Humans Online Social Networking Pandemics Pneumonia, Viral/therapy Resilience, Psychological Socioeconomic Factors Telemedicine/statistics & numerical data Vulnerable Populations/psychology Autism covid-19 Equity Health services Pandemic Resilience SARS-CoV-2 virus Telehealth Index. décimale : PER Périodiques Résumé : The new coronavirus disease (COVID-19) pandemic is changing how society operates. Environmental changes, disrupted routines, and reduced access to services and social networks will have a unique impact on autistic individuals and their families and will contribute to significant deterioration in some. Access to support is crucial to address vulnerability factors, guide adjustments in home environments, and apply mitigation strategies to improve coping. The current crisis highlights that our regular care systems are not sufficient to meet the needs of the autism communities. In many parts of the world, people have shifted to online school and increased use of remote delivery of healthcare and autism supports. Access to these services needs to be increased to mitigate the negative impact of COVID-19 and future epidemics/pandemics. The rapid expansion in the use of telehealth platforms can have a positive impact on both care and research. It can help to address key priorities for the autism communities including long waitlists for assessment and care, access to services in remote locations, and restricted hours of service. However, system-level changes are urgently needed to ensure equitable access and flexible care models, especially for families and individuals who are socioeconomically disadvantaged. COVID-19 mandates the use of technology to support a broader range of care options and better meet the diverse needs of autistic people and their families. It behooves us to use this crisis as an opportunity to foster resilience not only for a given individual or their family, but also the system: to drive enduring and autism-friendly changes in healthcare, social systems, and the broader socio-ecological contexts. En ligne : http://dx.doi.org/10.1186/s13229-020-00365-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433
in Molecular Autism > 11 (2020) . - 61 p.[article] Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond [Texte imprimé et/ou numérique] / Stephanie H. AMEIS, Auteur ; Meng-Chuan LAI, Auteur ; Benoit H. MULSANT, Auteur ; Peter SZATMARI, Auteur . - 61 p.
Langues : Anglais (eng)
in Molecular Autism > 11 (2020) . - 61 p.
Mots-clés : Adaptation, Psychological Autistic Disorder/psychology Coronavirus Infections/therapy Health Services Accessibility Humans Online Social Networking Pandemics Pneumonia, Viral/therapy Resilience, Psychological Socioeconomic Factors Telemedicine/statistics & numerical data Vulnerable Populations/psychology Autism covid-19 Equity Health services Pandemic Resilience SARS-CoV-2 virus Telehealth Index. décimale : PER Périodiques Résumé : The new coronavirus disease (COVID-19) pandemic is changing how society operates. Environmental changes, disrupted routines, and reduced access to services and social networks will have a unique impact on autistic individuals and their families and will contribute to significant deterioration in some. Access to support is crucial to address vulnerability factors, guide adjustments in home environments, and apply mitigation strategies to improve coping. The current crisis highlights that our regular care systems are not sufficient to meet the needs of the autism communities. In many parts of the world, people have shifted to online school and increased use of remote delivery of healthcare and autism supports. Access to these services needs to be increased to mitigate the negative impact of COVID-19 and future epidemics/pandemics. The rapid expansion in the use of telehealth platforms can have a positive impact on both care and research. It can help to address key priorities for the autism communities including long waitlists for assessment and care, access to services in remote locations, and restricted hours of service. However, system-level changes are urgently needed to ensure equitable access and flexible care models, especially for families and individuals who are socioeconomically disadvantaged. COVID-19 mandates the use of technology to support a broader range of care options and better meet the diverse needs of autistic people and their families. It behooves us to use this crisis as an opportunity to foster resilience not only for a given individual or their family, but also the system: to drive enduring and autism-friendly changes in healthcare, social systems, and the broader socio-ecological contexts. En ligne : http://dx.doi.org/10.1186/s13229-020-00365-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433