Quality of Primary Care for Children With Disabilities Enrolled in Medicaid

Chien, Alyna T.; Kuhlthau, Karen; Toomey, Sara L.; Quinn, Jessica; Okumura, Megumi J.; Kuo, Dennis Z.; Houtrow, Amy J.; Cleave, Jeanne Van; Landrum, Mary Beth; Jang, Jisun; Janmey, Isabel; Furdyna, Michael J.; Schuster, Mark A.

doi:10.1016/j.acap.2016.10.015

Cited by 15 publications

(13 citation statements)

References 24 publications

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“…Seventeen of the studies in the review described health service utilisation or hospitalisation of children with intellectual disability and/or compared this utilisation with another group to identify any inequities in service use or need. A common finding across the included studies was that children with intellectual disability were more likely to attend their GP or family physician compared to those without (Boulet et al, 2009; Chien et al, 2017; Gallagher et al, 2002), however, severity was not often an indicator of use (Caicedo, 2016). Children with developmental delays were found to have fewer check‐ups with their primary care provider, however, had more medical conditions on record (Nachshen et al, 2009).…”

Section: Resultsmentioning

confidence: 99%

“…Outpatient visits to EDs were also significant for children with intellectual disability, with a twofold increase in ED visits for children with developmental disability compared to those without over an 8‐year period (Boulet et al, 2009). Children with intellectual disability had a greater risk of ED attendance for non‐traumatic dental conditions (Chi et al, 2014) and had greater attendances for other conditions, including epilepsy (Nachshen et al, 2009) and ambulatory care sensitive (ACS) conditions (Hand et al, 2019a) compared the general population (Chien et al, 2017; Gallagher et al, 2002; Hand et al, 2019a; Hand et al, 2019b; Nachshen et al, 2009). Disability was related to use of the ED in a sample from Taiwan where 30% of children in the sample had attended the ED (Hsu et al, 2009).…”

Section: Resultsmentioning

confidence: 99%

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Unscheduled healthcare for children with intellectual disabilities: A systematic scoping review

Nicholson

Conlon

Mimmo

et al. 2022

Research Intellect Disabil

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Unscheduled healthcare for children with intellectual disabilities: A systematic scoping review

Nicholson

Conlon

Mimmo

et al. 2022

Research Intellect Disabil

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“…[5,6] Similar disparities in quality of primary care exist for children with physical disabilities (CWPD), particularly in the areas of screening, prevention, and chronic illness management. [7] There have been improvements in the primary care of CWPD using a family-centered care model [8], but many areas of dissatisfaction persist.…”

Section: Full Textmentioning

confidence: 99%

Treating children with physical disabilities: a video-based educational resource using simulated participants

KImmel

Nozetz

Salisbury

et al. 2022

Preprint

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Introduction: Children with physical disabilities (CWPD) have historically experienced inadequate and insensitive care across medical settings. A lack of comfort and knowledge about CWPD is prevalent amongst healthcare provider trainees. We developed a new, readily distributable educational resource about CWPD for healthcare professions students and conducted a preliminary study to determine its efficacy in addressing student attitudes towards CWPD.Methods: We collaborated with a working group of stakeholders in the disability community to develop an educational resource for healthcare students. We developed 9 short video clips (with a cumulative duration of 27 minutes) of a primary care visit using simulated participants and embedded them into a 50-minute workshop. We conducted a preliminary study of the workshop for volunteer healthcare professions students using synchronous videoconferencing. Participating students completed assessments at baseline and after the workshop. Our primary outcome measure was change in the Attitudes to Disabled Persons - Original (ATDP-O) scale.Results: Forty-nine healthcare students participated in the training session: 29 (59%) from medicine, and 21 (41%) from physician assistant or nursing programs. The materials were easy to deliver virtually. The workshop resulted in measurable changes in attitudes regarding physical disabilities, with improvement in ATDP-O scores between baseline (M=31.2, SD=8.9) and endpoint (M=34.8, SD=10.1) scores (t(49)= 3.28, p = 0.002, Cohen’s d = 0.38). Conclusions: This video-based educational resource on CWPD is readily distributable and can be delivered virtually as a workshop. In our preliminary study, the workshop improved healthcare students’ perceptions and attitudes toward CWPDs. All materials are available to view, download, or adapt by end-use instructors.

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“…2 Although coverage is often comprehensive, Medicaid beneficiaries must overcome considerable administrative burdens (Herd and Moynihan 2019). Families who pursue care through Medicaid often face difficulties obtaining prompt appointments, garnering Medicaid approval of procedures or prescriptions, securing transportation to healthcare facilities, and coordinating care services (Chien et al, 2017;Kaye, 2019;Medicaid.gov, 2017;Musumeci & Chidambaram, 2019a;Musumeci & Foutz, 2017;Okoro et al, 2018;Rudowitz et al, 2019). Currently, 32 percent of US physicians will not accept Medicaid patients (Herd & Moynihan, 2019;Holgash & Heberlein, 2019;Rudowitz et al, 2019).…”

Section: Reliance On Poverty-based Social Welfare Programsmentioning

confidence: 99%

Developing Age‐friendly Cities: Policy Opportunities and Challenges

Phillipson¹,

Buffel²

2020

Journal of Elder Policy

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This journal was initiated in 2019 during a period of relative calm and stability in the US. Our goal as a journal is to showcase cutting-edge scholarship in the field of aging and the social sciences that offers guidelines for practice and policy benefiting and protecting older adults. In a timely paper, expressions and consequences of ageism are addressed by Ayalon. Her essay focuses on ageism toward older adults at the macro-institutional level in policies or politics, at the meso level of interpersonal relations, and at the micro, intrapersonal level. She skillfully uses several contexts to demonstrate how ageism is manifested within policies, healthcare systems, workforces, and our ageist attitudes toward ourselves. Ayalon's article concludes with creative ways to combat such ageism.

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Quality of Primary Care for Children With Disabilities Enrolled in Medicaid

Cited by 15 publications

References 24 publications

Unscheduled healthcare for children with intellectual disabilities: A systematic scoping review

Unscheduled healthcare for children with intellectual disabilities: A systematic scoping review

Treating children with physical disabilities: a video-based educational resource using simulated participants

Developing Age‐friendly Cities: Policy Opportunities and Challenges

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