scholarly journals Associations Between Quality of Primary Care and Health Care Use Among Children With Special Health Care Needs

2011 ◽  
Vol 165 (5) ◽  
Author(s):  
Jean L. Raphael ◽  
Minghua Mei ◽  
David C. Brousseau ◽  
Thomas P. Giordano
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Special Health Care Needs ◽  
Health Care Use ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Quality Of Primary Care ◽  
Special Health

Barriers to Care for Children and Youth With Special Health Care Needs

2011 ◽  
Vol 51 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Rishi Agrawal ◽  
Parag Shah ◽  
Kathy Zebracki ◽  
Kathy Sanabria ◽  
Claire Kohrman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Special Health Care Needs ◽  
Children And Youth ◽  
Blood Glucose Monitoring ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Billing And Coding ◽  
Special Health

Objective. To assess primary care pediatricians’ (PCPs’) perceptions of caring for children and youth with special health care needs (CYSHCN). Methods. Cross-sectional survey of Illinois pediatricians. Results. Thirty-five percent of surveys were returned and 26% were analyzed. The top 3 perceived barriers were insufficient time (72%), insufficient reimbursement (68%), and lack of support services (59%). Insufficient interest was the least cited barrier (19%). Preparedness to perform tasks related to care of CYSHCN ranged from 89% for accessing early intervention services to 24% for billing and coding. The percentage of PCPs somewhat or very comfortable providing primary care to patients with technology dependence ranged from 75% for blood glucose monitoring to 12% for dialysis. Conclusions. The issues of time, reimbursement, billing, and coding are perceived as significant barriers to the care CYSHCN. There is substantial variation in PCPs’ comfort in the care of CYSHCN who require the assistance of medical technologies.

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