Rural/Urban Differences in Barriers to and Burden of Care for Children With Special Health Care Needs

Dados Bibliográficos

ID19431354
AutoresAsheley Cockrell Skinner (0000-0002-7737-9181, University of North Carolina at Chapel Hill, autor correspondente), REBECCA T SLIFKIN (University of North Carolina at Chapel Hill)
Ano2007
Volume23
Fascículo2
Páginas150-157
Data de publicação2007-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoThe Journal of Rural Health (JOURNAL)
Identificadores do periódicoISSN: 0890-765X • E-ISSN: 1748-0361
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1748-0361.2007.00082.x
PMID17397371
OpenAlexW2076966175
IdiomaEN
Citações recebidas25
Referências citadas18

Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural‐urban differences in types of providers used, reasons CSHCN had unmet health care needs, insurance and financial difficulties encountered, and the family burden of providing the child’s medical care. We present both unadjusted and adjusted results to allow consideration of the causes of rural‐urban differences. Findings: Rural CSHCN are less likely to be seen by a pediatrician than urban children. They are more likely to have unmet health care needs due to transportation difficulties or because care was not available in the area; there were minimal other differences in barriers to care. Families of rural CSHCN are more likely to report financial difficulties associated with their children’s medical needs and more likely to provide care at home for their children. Conclusions: Examining results from both unadjusted and adjusted odds ratios shows that the burden of care for families of rural CSHCN stems both from socioeconomic differences and health system differences. Policies aimed at achieving equity for rural children will require focusing on both individual factors and the health care infrastructure, including increasing insurance coverage to lessen financial difficulties and addressing the availability of providers in rural areas

Economic growth · Environmental health · Family medicine · Health care · Health equity · Logistic regression · Medical home · Needs assessment · Odds · Population · Primary care · Public health · Rural area · Socioeconomic status · Child and Adolescent Health · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Medicine · Nursing