Rural-urban disparities in health care delivery for children with medical complexity and moderating effects of payer, disability, and community poverty.

ABSTRACT:

Purpose

Children with medical complexity (CMC) may be at increased risk of rural-urban disparities in health care delivery given their multifaceted health care needs, but these disparities are poorly understood. This study evaluated rural-urban disparities in health care delivery to CMC and determined whether Medicaid coverage, co-occurring disability, and community poverty modified the effects of rurality on care delivery.

Methods

This retrospective cohort study of 2012-2017 all-payer claims data from Colorado, Massachusetts, and New Hampshire included CMC <18 years. Health care delivery measures (ambulatory clinic visits, emergency department visits, acute care hospitalizations, total hospital days, and receipt of post-acute care) were compared for rural- versus urban-resi

SUBMITTER: Arakelyan M 

PROVIDER: S-EPMC10954394 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature