Caring for Children with Special Health Care Needs: Profiling Pediatricians and Their Health Care Resources

Maternal and Child Health Journal
Megumi J OkumuraJohn I Takayama

Abstract

Background and Objectives Pediatricians face numerous challenges in providing care for children with special health care needs (CSHCN). Few studies have described health care resources available to support pediatricians to care for CSHCN. This study investigated available resources to care for CSHCN and factors associated with having a greater proportion of CSHCN in practice. Methods We conducted a statewide survey of active members of the American Academy of Pediatrics in California to study pediatric subspecialty care access, community and office resources and practice barriers. We performed a logistic regression model on having an "above average proportion" of CSHCN in practice, adjusting for demographics, practice type (rural vs. suburban/urban) and medical resources, care satisfaction, and ease of subspecialty access. Results Our response rate was 50.2% (n = 1290); 75% of respondents reported providing some primary care services, with many primary care pediatricians caring for a high proportion of CSHCN. Pediatricians reported an average of 28% CSHCN in their practices. Rural pediatricians lacked subspecialty access (10-59% reporting no access to the various subspecialties). Factors relating to higher CSHCN in practice inc...Continue Reading

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Citations

Nov 20, 2019·Journal for Specialists in Pediatric Nursing : JSPN·Songul Cinaroglu
Dec 18, 2020·Pediatric Research·Michelle L MacyGary L Freed
May 1, 2021·International Journal of Environmental Research and Public Health·Whitney GarneyChristi Esquivel
May 26, 2021·Journal of Developmental and Behavioral Pediatrics : JDBP·Rashed M AlRasheedMegumi J Okumura

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