美国黑人、西班牙裔和白人中患有或可能患有身心健康疾病的儿童的医疗保健需求未得到满足的原因。

IF 1 4区 医学 Q3 PEDIATRICS Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-06-24 DOI:10.1177/00099228241263042
Anna K Ault, DeLawnia Comer-HaGans, Sarah J Faubert, Bakari A Wallace, Bridget E Weller
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引用次数: 0

摘要

与没有特殊健康护理需求的儿童相比,有特殊健康护理需求的儿童(CSHCN)需要更多的健康护理资源。此外,根据照顾者的报告,少数种族/少数族裔的 CSHCN 有更多的需求未得到满足。然而,他们的需求未得到满足的原因却相对不明。本研究估算并比较了美国全国西语裔、非西语裔黑人和非西语裔白人 CSHCN 的照顾者报告的医疗保健需求未得到满足的原因。最常见的原因是黑人 CSHCN 难以获得预约,西班牙裔和白人 CSHCN 难以获得费用。与交通有关的问题在黑人 CSHCN 中的发生率明显低于在白人和西班牙裔 CSHCN 中的发生率。与费用相关的问题,黑人 CSHCN 明显少于西班牙裔 CSHCN。为了解决 CSHCN 需求得不到满足的原因,需要进行有效的结构改革。
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Reasons for Unmet Health Care Needs Among Black, Hispanic, and White Children in the United States With or at Risk for Physical and Mental Health Conditions.

Children with special health care needs (CSHCN)-ie, children who are at increased risk for, or currently manage, persistent physical and mental health conditions-require more health care resources than children without special health care needs. Furthermore, CSHCN who identify as racial/ethnic minorities disproportionately encounter unmet needs, according to reports from their caregivers. However, the reasons for their unmet needs are relatively unknown. This study estimated and compared the US national prevalence of caregiver-reported reasons for unmet health care needs for Hispanic, non-Hispanic black, and non-Hispanic white CSHCN. The most common reasons were problems getting an appointment for black CSHCN and cost for Hispanic and white CSHCN. Issues related to transportation were significantly less likely for black than for white and Hispanic CSHCN. Cost-related issues were significantly less likely for black than Hispanic CSHCN. To address reasons for unmet needs for CSHCN, effective structural changes are needed.

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来源期刊
Clinical Pediatrics
Clinical Pediatrics 医学-小儿科
CiteScore
2.10
自引率
6.20%
发文量
189
审稿时长
3-8 weeks
期刊介绍: Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
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