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Relationships Among Financial, Clinical, and Organizational Factors in a Population of Children with Special Health Care Needs: A Secondary Analysis of the 2009/10 NS-CSHCN

Letostak, Tiasha Barik

Abstract Details

2015, Doctor of Philosophy, Ohio State University, Public Health.
Compared to children without special health care needs, children with special health care needs (CSHCN) typically utilize a wider range of health services and a higher quantity of those services due to the health conditions and health-related difficulties that CSHCN experience. CSHCN are also more likely to experience inadequacies in insurance coverage, to delay care, and to have unmet needs. These health services issues can lead to outcomes of care that are worse for CSHCN than for children without special health care needs. The medical home is a model of care delivery that has been promoted as being beneficial for CSHCN, particularly with respect to improving care coordination and providing more comprehensive care. This dissertation involves three distinct, but related studies of health services issues experienced by CSHCN. Study 1 will assess whether particular aspects of a special health condition impact a child’s likelihood of having inadequate insurance coverage. Study 2 will examine whether the receipt of coordinated care is associated with reductions in unmet needs for various groups of CSHCN. Lastly, Study 3 will investigate how outcomes of care differ in a medical home versus a traditional setting of care delivery, and whether individual aspects of the medical home are positively associated with outcomes of care for CSHCN. All three studies were based on secondary analysis of data from the 2009/10 National Survey of Children with Special Health Care Needs (NS-CSHCN), which is sponsored by the Maternal and Child Health Bureau, the U.S. Department of Health and Human Services, and the Health Resources and Services Administration.
Thomas Wickizer, PhD (Advisor)
Abigail Shoben, PhD (Committee Member)
Sandra Tanenbaum, PhD (Committee Member)
Marc Tasse, PhD (Committee Member)
187 p.

Recommended Citations

Citations

  • Letostak, T. B. (2015). Relationships Among Financial, Clinical, and Organizational Factors in a Population of Children with Special Health Care Needs: A Secondary Analysis of the 2009/10 NS-CSHCN [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1436740534

    APA Style (7th edition)

  • Letostak, Tiasha. Relationships Among Financial, Clinical, and Organizational Factors in a Population of Children with Special Health Care Needs: A Secondary Analysis of the 2009/10 NS-CSHCN. 2015. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1436740534.

    MLA Style (8th edition)

  • Letostak, Tiasha. "Relationships Among Financial, Clinical, and Organizational Factors in a Population of Children with Special Health Care Needs: A Secondary Analysis of the 2009/10 NS-CSHCN." Doctoral dissertation, Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1436740534

    Chicago Manual of Style (17th edition)