Well-Child Visits of Medicaid-Insured Children with Medical Complexity

The Journal of Pediatrics
Igor ShumskiyJay G Berry

Abstract

Well-child visits (WCVs) help optimize children's health. We measured annual WCVs for children with medical complexity (CMC) and correlated WCVs with hospitalizations. This was a retrospective analysis of 93 121 CMC aged 1-18 years continuously enrolled in 10 state Medicaid programs in the Truven MarketScan Database between 2010 and 2014. CMC had a complex chronic condition or 3 or more chronic conditions of any complexity identified from International Classification of Diseases, Ninth Revision codes, and the use of 1 or more chronic medications. We measured the number of years with 1 or more WCVs. The χ2 test and logistic regression were used to assess the relationships of WCV-years with the children's characteristics and hospitalization. Over 5 years, 13.4% of CMC had 0 WCVs; 17.3% had WCVs in 1 year, 40.8% had WCVs in 2-3 years, and 28.5% had WCVs in 4-5 years. Fewer children received WCVs in 4-5 years when enrolled in Medicaid fee-for-service compared with managed care (20.9% vs 31.5%; P < .001) and when enrolled due to a disability compared with another reason (18.2% vs 32.2%; P < .001). The percentage of CMC hospitalized decreased as the number of years receiving WCV increased (21.5% at 0 years vs 16.9% at 5 years; P < .0...Continue Reading

Citations

Feb 12, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Stuart JarvisLorna K Fraser
Nov 10, 2020·Cardiology in the Young·Amber BroughtonSherry L Farr
Aug 5, 2019·American Journal of Preventive Medicine·Christy B TurerCelette Sugg Skinner
Feb 25, 2021·Nursing Forum·Jayne RogersHaylee Manning

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