Development of the Children With Disabilities Algorithm

Abstract

BACKGROUND: A major impediment to understanding quality of care for children with disabilities (CWD) is the lack of a method for identifying this group in claims databases. We developed the CWD algorithm (CWDA), which uses International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes to identify CWD.

Children with neurodevelopmental disorders and disabilities: a population‐based study of healthcare service utilization using administrative data

“…Linked administrative health data are increasingly becoming a focus for research to study child disability . The study of NDD/D using administrative data is relatively new.…”

“…The study of NDD/D using administrative data is relatively new. Most existing work in this area has used lists of chronic health conditions but has not focused on NDD/D because of the lack of functional impairment information in most administrative data. Yet, the consensus‐based definition of neurodisability challenges researchers to find an approach to grouping health conditions under domains of functioning associated with NDD/D in an attempt to close the gap between specific conditions and functional limitations associated with them …”

“…Linked administrative health data are increasingly becoming a focus for research to study child disability. 6,7 The study of NDD/D using administrative data is relatively new. Most existing work in this area has used lists of chronic health conditions 7-9 but has not focused on NDD/ D because of the lack of functional impairment information in most administrative data.…”

Using Canadian administrative health data to measure the health of caregivers of children with and without health problems: A demonstration of feasibility.

“…This work employs administrative health data to develop new non-categorical measures of child health (for others see [16,[41][42][43][44][45][46] ), and to our knowledge is the first to use such measures to study the health of family members of children with health problems. The work demonstrates the feasibility of the approach and highlights some of the challenges in using such data to compare child health groupings involving ranges of clinical conditions, but which nevertheless share caregiving challenges.…”

Problematika vyšetrenia psychomotorického vývinu detí v primárnej pediatrickej starostlivosti: súčasný trend na Slovensku

“…Tá priamo vyplýva: -zo zistení, že biologické a psychosociálne vplyvy ovplyvňujú čas a vzorce genetickej expresie, ktoré môžu zmeniť štruktúry mozgu, jeho funkcie a správanie. Ide o obojstranne pôsobiaci efekt, pretože správanie dieťaťa spätne vplýva priamo na vývin mozgu a nepriamo modifikuje biologické a psychosociálne vplyvy v prostredí dieťaťa (Bischof, 2007) s tendenciou celoživotného pretrvávania, -z vývinového a celoživotného modelu porúch, ktoré, ak sa objavia na určitom stupni vývinu, majú svoje symptomatické prejavy v predchádzajúcich obdobiach, -konceptu dizability: vychádza sa z interakcií medzi človekom a jeho prostredím v protiklade s vnímaním poruchy ako charakteristickej vlastnosti človeka (Chien et al, 2015), -z funkčnej normality: ukazuje sa, že závažnosť príznakov je lepším prediktorom priebehu poruchy ako samotná diagnostická kategória (Forgáčová, 2015). Hoci odchýlky vývinu v ranom veku nemusia byť špecifickým symptómom, ktorý by jednoznačne definoval poruchu, ich identifikácia je dôkazom, že vývinová a/alebo behaviorálna funkčnosť je už odlišná od populačnej normy, a z potvrdenej účinnosti intervencií poskytnutých v ranom detstve s pretrvávajúcim účinkom na funkčné zručnosti (Wachs et al, 2014).…”