Access to Health Care for Disadvantaged Young Children

Newacheck, Paul W.; Hung, Yun‐Yi; Hochstein, Miles; Halfon, Neal

doi:10.1177/105381510202500101

Cited by 17 publications

(19 citation statements)

References 19 publications

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“…This increase in service utilization has burdened local educational and EI systems (California Department of Developmental Services, 2003; Newacheck, Hung, Hochstein, & Halfon, 2002; Jacobson & Mulick, 2000; Jarbrink & Knapp, 2001; Mandell D. S. & Palmer R. F., 2005) and has highlighted the need for gaining a better understanding of how to better disseminate and implement evidence-based practices (EBPs) or practices supported by research findings, in public programs.…”

mentioning

confidence: 99%

Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers.

Stahmer

Aarons

2009

Psychological Services

107

104

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Across the country, states are reporting increases in the number of children with autistic spectrum disorders (ASD) served each year in the early intervention system. Research examining factors impacting the successful dissemination and implementation of evidence-based practice (EBPs) into service systems for these children is limited. Preliminary information indicates that adoption of EBPs is variable. Provider attitudes toward the adoption of EBPs may be one factor that limits or facilitates implementation of efficacious treatments and these attitudes vary by organizational context and provider individual differences. The current study examines cross-context differences in provider attitudes toward EBPs by comparing the attitudes of 71 education-based early intervention providers working with children with ASD to the attitudes of 238 mental health providers in the public mental health system. This provides the first examination of ASD early intervention provider attitudes toward EBP. Results indicated that early intervention providers reported significantly more favorable attitudes toward adopting EBPs than did mental health providers. Early intervention providers with extended experience in the field perceived less divergence between their current practice and EBPs. Implications are discussed.

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mentioning

confidence: 99%

Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers.

Stahmer

Aarons

2009

Psychological Services

107

104

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“…11 Children in lower socioeconomic status families or racial/ethnic minorities, as well as uninsured children continue to report poor access to basic health-care services. [12][13][14][15][16][17][18][19][20] Such disparities in access are compounded for children that have multiple risk factors associated with poor access to care (e.g., children who are poor and lack health insurance). [20][21][22] Several economic and policy trends at the beginning of this decade had the potential to affect children's access to primary care by influencing risk factors for poor access among families.…”

Section: Synopsismentioning

confidence: 99%

Improvements in Access to Care for Vulnerable Children in California between 2001 and 2005

et al. 2009

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SYNOPSISObjective. We examined population changes in access to care for children in California during a period of major efforts to improve access to care for children.Methods. We used cross-sectional data on 36,010 children aged 0-19 years from the 2001 and 2005 California Health Interview Survey to assess population changes in access to care. We assessed changes in access by individual risk factors and a composite risk profile. [CI] 1.07, 1.12) and dental visit (OR51.11, 95% CI 1.08, 1.14). Children were slightly less likely in 2005 to have a regular source of care (OR50.94, CI 0.91, 0.96). Children who had the highest risk profiles (4 risk factors) experienced the largest gains in access. For example, children with three and 4 risk factors had gains in dental visits of 11 and 20 percentage points, respectively (p0.001 for each), compared with 3 percentage points for children with fewer risk factors.Conclusions. This study found improvements in physician and dental visits between 2001 and 2005 that were not fully explained by changes in insurance coverage or other demographic risk factors. Vulnerable children fared well during this period, suggesting that California may be making important and potentially replicable strides in reducing disparities.

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“…Despite its value, many children do not receive adequate primary care. Children in lower socioeconomic status (SES) families, the uninsured, and racial/ethnic minorities frequently have been reported to have poorer primary care experiences (Newacheck, Hughes, and Stoddard 1996; Ortega et al 2000; Weech‐Maldonado et al 2001; Newacheck et al 1998, 2002; Stevens and Shi 2002; Elster et al 2003; Lurie et al 2003; Seid, Stevens, and Varni 2003), and poorer health status (Montgomery, Kiely, and Pappas 1996; Brooks‐Gunn and Duncan 1997; Lave et al 1998; Goodman 1999; Flores et al 1999; DiLiberti 2000; Holl et al 2000; Bradley and Corwyn 2002; Wood et al 2002; Fox et al 2003; Newacheck et al 2003). Given weakening state budgets across the nation, access to needed high quality primary care for these vulnerable children may be further compromised.…”

mentioning

confidence: 99%

Disparities in Primary Care for Vulnerable Children: The Influence of Multiple Risk Factors

Stevens¹,

Seid

Mistry

et al. 2006

Health Services Research

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This study demonstrates a dose-response relationship of higher risk profiles with poorer child health status, access to, and continuity of primary care. Having gained access, however, adolescents with higher risk profiles are more likely to receive health promotion counseling. Higher profiles appear to be associated with greater barriers to accessing primary care for children in "fair or poor" health, suggesting that vulnerable children who have the greatest health care needs also have the greatest difficulty obtaining primary care.

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Access to Health Care for Disadvantaged Young Children

Cited by 17 publications

References 19 publications

Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers.

Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers.

Improvements in Access to Care for Vulnerable Children in California between 2001 and 2005

Disparities in Primary Care for Vulnerable Children: The Influence of Multiple Risk Factors

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