Disparities in Health Care Quality Indicators among US Children with Special Health Care Needs According to Household Language Use

Yu, Stella M.; Lin, Sue C.; Strickland, Bonnie

doi:10.21106/ijma.51

Cited by 8 publications

(4 citation statements)

References 23 publications

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“…In particular, results for households in which English is not the primary language suggest a continued need for medical interpretation and translation services to improve the provision of FCC and to facilitate family-professional partnerships. 18,24 In addition, we found that having a PDN was the subcomponent with the lowest attainment rate among non-CSHCN (71%). One possibility is that non-CSHCN could be more likely to use large group, urgent care, or school-based practices in which they are less likely to see the same clinician each time.…”

Section: Discussionmentioning

confidence: 75%

Access to the Medical Home Among Children With and Without Special Health Care Needs

2018

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composite measure composed of 5 subcomponents (usual source of care, personal doctor or nurse, referral access, receipt of care coordination, and receipt of family-centered care) for 50 177 US children aged 0 to 17 years. We conducted bivariate analyses and logistic regression to examine the sociodemographic and health characteristics associated with reported attainment of the medical home composite measure and each subcomponent. Analyses were survey weighted. RESULTS:In 2016, 43.2% of children with special health care needs (CSHCN) and 50.0% of non-CSHCN were reported to have access to a medical home. Attainment of the medical home composite measure varied significantly by sociodemographic characteristics among both CSHCN and non-CSHCN, as did attainment rates for each of the 5 subcomponents. The medical complexity of CSHCN was also associated with attainment rates of all outcomes. CONCLUSIONS:The medical home incorporates elements of care considered necessary for providing comprehensive, quality care. Our results indicate that there is still room to improve access to the medical home among all children.

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Section: Discussionmentioning

confidence: 75%

Access to the Medical Home Among Children With and Without Special Health Care Needs

2018

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“…Yet to date, studies on language-related oral health disparities have focused primarily on children. Children in non-English primary language households are more likely to be poor, overweight (Flores & Tomany-Korman, 2008), and lack oral health care (Yu et al, 2015). No study to date has focused on potential variations in oral health among adult non-English speakers, exploring the interlocking roles of nativity and English proficiency and whether the barriers are similar at different levels of socioeconomic status, which is what this study undertakes herein.…”

Section: Background and Significancementioning

confidence: 99%

Oral health disparities: Racial, language and nativity effects

Han

2019

SSM - Population Health

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This study examined racial oral health disparities among Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics. For Hispanics, this study also examined the role of language in oral health disparities between English-speaking Hispanics and Spanish-speaking Hispanics. This study included 12, 307 adults older than 20 from the National Health and Nutrition Examination Survey (NHANES) 2011–2016. Oral health is measured by self-rated oral health, the frequencies of dentist visits, and the number of missed teeth. Exposures of interest referred to social gradients, which include education, annual family income, foreign born, and citizenship. Covariates included age, gender, and marital status. Ordinal logistic regression models were used to estimates the effects of social gradients on self-rated oral health and dentist visits. Negative binomial regression model was applied to estimate the effects of social gradients on the number of missed teeth. Overall, Spanish-speaking Hispanics presented the most disadvantaged social gradients and the worst oral health results. Non-Hispanic Blacks and English-speaking Hispanics reported disadvantaged oral health status when compared to Non-Hispanic Whites. Foreign-born, higher education levels and annual family income play protective role on oral health outcomes, while respondents who do not have citizenship are at higher risk of self-rated fair/poor oral health and dentist visits.

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“…Research show these groups lack access to SDM and, once they access it, they report lower quality in their SDM experiences compared with white families. 12-15…”

Section: Introductionmentioning

confidence: 99%

“…Research show these groups lack access to SDM and, once they access it, they report lower quality in their SDM experiences compared with white families. [12][13][14][15] A systematic literature review showed variation in how racial and ethnic minority groups experience SDM in health care settings. 16 Reviewed studies reported that some minority patients do not feel comfortable being expected to actively engage in decision making with a clinician in the early stages of the clinical process while trust and familiarity with the particular health condition(s) were developed.…”

mentioning

confidence: 99%

Disparities in Shared Decision Making and Service Receipt Among Children With Special Health Care Needs and Developmental Delay: A National Survey Analysis

Jolles

Zullig

Lee

et al. 2020

J Prim Care Community Health

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Shared decision making (SDM) is associated with increased service satisfaction among pediatric patients. Our objective was to examine the association between SDM and service use experiences across racial/ethnic child groups. This secondary data analysis used the 2009-2010 National Survey of Children with Special Health Care Needs (CSHCN) and 2011 Pathways to Diagnosis and Services Survey. We used a rank-and-replace matching approach consistent with Institute of Medicine recommendations for health disparities research. We included CSHCN aged 6 to 17 years. The exposure of interest was parents of CSHCN reporting engagement in SDM with clinicians. There were 4032 CSHCN included in analysis. CSHCNs experiencing SDM had a 16% higher probability of reporting service use compared to those not experiencing it (95% CI, 14.24-19.42). Black children experiencing SDM reported seeing all needed care providers at a lower rate than whites (79% and 87.6% respectively; 95% CI, -14.05-3.27). The benefit of SDM over not experiencing it for blacks was 12.2% less than for whites for the outcome of seeing all needed care providers. For the outcome of receiving all needed treatments and services, the SDM benefit was 9.1% lower for Hispanics compared with whites. SDM can improve service experiences but implementation flexibility may be needed.

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Disparities in Health Care Quality Indicators among US Children with Special Health Care Needs According to Household Language Use

Cited by 8 publications

References 23 publications

Access to the Medical Home Among Children With and Without Special Health Care Needs

Access to the Medical Home Among Children With and Without Special Health Care Needs

Oral health disparities: Racial, language and nativity effects

Disparities in Shared Decision Making and Service Receipt Among Children With Special Health Care Needs and Developmental Delay: A National Survey Analysis

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