112 lines
3.6 KiB
YAML
112 lines
3.6 KiB
YAML
abstract: 'Objectives. To determine whether family resources predict use of
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therapeutic and supportive services and unmet needs in medical versus
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educational settings.
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Data Source. Children 5-17 years of age with at least one functional
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limitation (n=3,434) from the 1994 to 1995 Disability Supplement to the
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U.S. National Health Interview Survey.
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Study Design. Family resources included the child''s type of health
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insurance, household education level, and poverty status. Therapeutic
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services included audiology; social work; occupational, physical, or
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speech therapy. Supportive services included special equipment, personal
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care assistance, respite care, transportation, or environmental
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modifications. Need was controlled by child health status and the
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severity and type of functional limitation(s). Age, gender,
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race/ethnicity, family size, and structure were covariates.
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Data Analysis Methods. Logistic regression provided estimates of
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associations between-family resources and use of or unmet need for
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therapeutic and supportive services. Multinomial methods were used to
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determine therapeutic service outcomes in medical versus educational
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settings.
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Principal Findings. Children with public insurance were two to three
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times more likely to use services than children with private or no
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insurance regardless of type of service. Household education and public
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insurance were associated with supportive and therapeutic service use,
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but for therapeutic services only among children receiving services
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beyond the school setting. Household education predicted unmet need for
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both types of services and therapeutic services across settings.
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Findings should be interpreted cautiously, given the survey''s dependence
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on respondent report to define the need for services and the potential
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for overrepresentation of children with more severe needs in the public
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insurance category.
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Conclsions. Disparities in the use of services by household education
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level and by type of health insurance across service settings suggests
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inequitable access among the U.S. policies and programs serving children
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with functional limitations. Family income and education appear to give
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families an advantage in obtaining services and in identifying a child''s
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unmet need.'
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affiliation: 'Benedict, RE (Corresponding Author), Univ Wisconsin, Dept Kinesiol,
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Waisman Ctr Study Human Dev Dev Disabil, Program Occupat Therapy,Sch Educ, 123 Waisman
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Ctr,1500 Highland Ave, Madison, WI 53705 USA.
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Univ Wisconsin, Dept Kinesiol, Waisman Ctr Study Human Dev Dev Disabil, Program
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Occupat Therapy,Sch Educ, Madison, WI 53705 USA.'
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author: Benedict, RE
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author_list:
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- family: Benedict
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given: RE
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da: '2023-09-28'
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doi: 10.1111/j.1475-6773.2005.00468.x
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files: []
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issn: 0017-9124
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journal: HEALTH SERVICES RESEARCH
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keywords: 'child; disability; therapeutic and supportive services; education versus
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medical setting'
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keywords-plus: 'HEALTH-CARE NEEDS; MEDICAID MANAGED CARE; CHRONIC ILLNESSES;
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NATIONAL-SURVEY; ACCESS; INSURANCE; DISABILITIES; ADOLESCENTS; PROGRAM;
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IMPACT'
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language: English
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month: FEB
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number: '1'
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number-of-cited-references: '41'
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pages: 103-124
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papis_id: e2e748be24afaaa00784efbf7fcbf400
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ref: Benedict2006disparitiesuse
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times-cited: '40'
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title: 'Disparities in use of and unmet need for therapeutic and supportive services
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among school-age children with functional limitations: A comparison across settings'
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type: article
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unique-id: WOS:000234668200007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '12'
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volume: '41'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2006'
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