Specialties Providing Ambulatory Care and Associated Health Care Utilization and Quality for Children With Medical Complexity.

ABSTRACT:

Objective

Although children with medical complexity (CMC) have substantial health care needs, the extent to which they receive ambulatory care from primary care versus specialist clinicians is unknown. We aimed to determine the predominant specialty providing ambulatory care to CMC (primary care or specialty discipline), the extent to which specialists deliver well-child care, and associations between having a specialty predominant provider and health care utilization and quality.

Methods

In a retrospective cohort analysis of 2012-17 all-payer claims data from Colorado, New Hampshire, and Massachusetts, we identified the predominant specialty providing ambulatory care for CMC <18 years. Propensity score weighting was used to create a balanced sample of CMC and assess differe

SUBMITTER: Austin AM 

PROVIDER: S-EPMC10792122 | biostudies-literature | 2023 Nov-Dec

REPOSITORIES: biostudies-literature