Medical Complexity among Children with Special Health Care Needs: A Two-Dimensional View.

ABSTRACT:

Objective

To identify subgroups of U.S. children with special health care needs (CSHCN) and characterize key outcomes.

Data source

Secondary analysis of 2009-2010 National Survey of CSHCN.

Study design

Latent class analysis grouped individuals into substantively meaningful classes empirically derived from measures of pediatric medical complexity. Outcomes were compared among latent classes with weighted logistic or negative binomial regression.

Principal findings

LCA identified four unique CSHCN subgroups: broad functional impairment (physical, cognitive, and mental health) with extensive health care (Class 1), broad functional impairment alone (Class 2), predominant physical impairment requiring family-delivered care (Class 3), and physical impairment alone (C

SUBMITTER: Coller RJ 

PROVIDER: S-EPMC4946040 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature