Health services use and health care expenditures for children with disabilities

Pediatrics
Paul W NewacheckSue E Kim

Abstract

To examine health care utilization and expenditure patterns for children with disabilities. Secondary data analysis was conducted of the 1999 and 2000 editions of the Medical Expenditure Panel Survey (MEPS), a nationally representative survey conducted in 5 rounds by household interview. Two years of MEPS data were combined in this analysis to improve the precision of estimates. Disability was defined by the presence of a limitation in age-appropriate social role activities, such as school or play, or receipt of specialized services through the early intervention or special education programs. The survey sample included 13,792 children younger than 18 years. The overall response rate was 65.5%. Our findings demonstrate that the 7.3% of US children with disabilities used many more services than their counterparts without disabilities in 1999-2000. The largest differences in utilization were for hospital days (464 vs 55 days per 1000), nonphysician professional visits (3.0 vs 0.6), and home health provider days (3.8 vs 0.04). As a result of their greater use, children with disabilities also had much higher health care expenditures (2669 dollars vs 676 dollars) and higher out-of-pocket expenditures (297 dollars vs 189 dollars). We...Continue Reading

References

Mar 1, 1992·American Journal of Public Health·P W Newacheck, W R Taylor
Feb 1, 1984·Pediatric Clinics of North America·S L Gortmaker, W Sappenfield
Apr 29, 1998·American Journal of Public Health·P W Newacheck, N Halfon
Jul 4, 1998·Pediatrics·P W NewacheckP Arango
Aug 6, 1998·Health Affairs·K KuhlthauR E Stein
Sep 17, 1998·Pediatrics·K KuhlthauS L Gortmaker
Mar 1, 1997·Maternal and Child Health Journal·J M PerrinS L Gortmaker
Aug 11, 2001·The Journal of Behavioral Health Services & Research·J S Ringel, R Sturm
Mar 13, 2002·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Ruth E K Stein, Ellen J Silver

❮ Previous
Next ❯

Citations

Nov 9, 2012·Clinical Oral Investigations·Roos Leroy, Dominique Declerck
Nov 4, 2006·Administration and Policy in Mental Health·Scott C FlandersJames T McCracken
May 10, 2011·Journal of Family and Economic Issues·Whitney P WittRonald E Gangnon
Mar 10, 2010·Maternal and Child Health Journal·Caprice KnappElizabeth Shenkman
Jul 16, 2010·Maternal and Child Health Journal·Susan BerryArleen Williams
Jan 25, 2006·Journal of Palliative Medicine·Bruce P Himelstein
Nov 19, 2004·Current Opinion in Pediatrics·Nancy D Spector, Shareen F Kelly
May 9, 2012·Cancer Nursing·Argerie TsimicalisRahim Moineddin
Jul 23, 2008·Pediatric Emergency Care·Carissa ScurlockHuiyun Xiang
Aug 15, 2009·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Margaret E O'NeilNora Wells
Jun 30, 2012·American Journal of Public Health·James PriceHuiyun Xiang
Sep 3, 2011·Southern Medical Journal·Dawn TurnerMichael W Quasney
Dec 23, 2014·Current Obesity Reports·Aviva MustLinda Bandini
May 20, 2011·American Journal on Intellectual and Developmental Disabilities·Beth M McManusMarie McCormick
Jul 27, 2005·American Journal of Public Health·Sarita A MohantyDavid H Bor
Dec 1, 2007·American Journal of Public Health·Sara A Sinclair, Huiyun Xiang
Sep 1, 2006·Developmental Neuroscience·Heather T Keenan, Susan L Bratton
Mar 1, 2011·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Lisa C Lindley
Oct 12, 2013·Medical Care·Carrie Henning-SmithMichael Priebe
Aug 24, 2010·American Journal of Physical Medicine & Rehabilitation·Jeffrey D EdwardsRobert J Graham
Feb 2, 2006·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·April A GreekNazli Baydar
Aug 1, 2005·Expert Review of Pharmacoeconomics & Outcomes Research·Michael SeidJames W Varni
Nov 27, 2008·Disability and Rehabilitation·R E Benedict, A M Baumgardner
May 6, 2010·Disability and Rehabilitation·Sharada WeirEllen Mackenzie
Feb 3, 2016·Health & Social Care in the Community·Seok Hong Tan
Sep 10, 2013·Academic Pediatrics·Jean L RaphaelThomas P Giordano
Sep 26, 2013·Disability and Health Journal·Chaiporn PumkamSudha Xirasagar
Oct 2, 2012·Disability and Health Journal·Carrie L ShandraMichael E Msall
Jun 26, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·LeaAnne DeRigne
Dec 1, 2010·Research in Developmental Disabilities·Kiyoshi YamakiLawrence C Vogel
Mar 2, 2016·Journal of Intellectual Disability Research : JIDR·M RaspaJ Petrillo
Mar 10, 2016·Journal of Korean Medical Science·Jeong-Eun LeeEun Joo Yang
Jan 8, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·William M ArmsteadMonica S Vavilala

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.