کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1080113 950534 2008 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood
چکیده انگلیسی

PurposeTo describe access to care and identify factors associated with access for low-income young adults who aged out of a public program for children with special health care needs (CSHCN).MethodsThis was a cross-sectional survey of graduates of the Title V CSHCN program in one California county. Subjects were 77 graduates (55% female) aged 21–24 years with ongoing health care needs. Measures of access to care included having the following: a regular source of care for the main health condition; all needed care since turning 21 years of age; any delayed or forgone care in the past 6 months; health insurance; and continual insurance since turning age 21. Individuals lacking any one access measure were defined as experiencing an adverse transition event.ResultsOf the subjects, 24% lacked a usual source of health care, 27% had gone without some needed health care since turning 21, and 39% had delayed needed care. Although 10% of respondents were uninsured at the time of the survey; 40% had a gap in insurance coverage since turning age 21. Overall, 65% reported at least one adverse transition event affecting access to care. Factors associated with experiencing no adverse transition event were receiving Supplemental Security Income (SSI, p = .007), having received special education services (p = .003), and having been born with the main health condition (p = .013).ConclusionsInsurance gaps and delayed care are prevalent among these low-income young adults despite ongoing health problems. Greater transition support might improve access by linking them with a usual source of care, identifying insurance options, and encouraging regular use of care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Adolescent Health - Volume 43, Issue 1, July 2008, Pages 23–29
نویسندگان
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