Associations between state economic and health systems capacities and service use by children with special health care needs.

Maternal and Child Health Journal
Lewis H MargolisAnita M Farel

Abstract

To examine the relationship between measures of state economic, political, health services, and Title V capacity and individual level measures of the well-being of CSHCN. We selected five measures of Title V capacity from the Title V Information System and 13 state capacity measures from a variety of data sources, and eight indicators of intermediate health outcomes from the National Survey of Children with Special Health Care Needs. To assess the associations between Title V capacity and health services outcomes, we used stepwise regression to identify significant capacity measures while accounting for the survey design and clustering of observations by state. To assess the associations between economic, political and health systems capacity and health outcomes we fit weighted logistic regression models for each outcome, using a stepwise procedure to reduce the models. Using statistically significant capacity measures from the stepwise models, we fit reduced random effects logistic regression models to account for clustering of observations by state. Few measures of Title V and state capacity were associated with health services outcomes. For health systems measures, a higher percentage of uninsured children was associated wit...Continue Reading

References

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Jun 24, 2005·Maternal and Child Health Journal·Stephen J Blumberg, Matthew D Bramlett
May 1, 2008·Maternal and Child Health Journal·Amber M Richardson Detty, Mark D Siegal

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Citations

Mar 22, 2019·Journal for Specialists in Pediatric Nursing : JSPN·Jessica Keim-MalpassPamela DeGuzman
Jan 5, 2021·Maternal and Child Health Journal·Anne E BrisendineMartha S Wingate

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