Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders
Background: A health care reform has been taking place to provide cost-effective and coordinated care. One method of achieving these goals is a patient-centered medical home (PCMH) model, which is associated with provision of quality care among children belonging to racial/ethnic minorities. Despite...
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2014-10-01
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Series: | Journal of Primary Care & Community Health |
Online Access: | https://doi.org/10.1177/2150131914539814 |
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doaj-4aafce9ac6d442b68688eb811cb557ee2020-11-25T03:27:19ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272014-10-01510.1177/2150131914539814Racial Health Disparities Among Special Health Care Needs Children With Mental DisordersChanhyun Park0Xi Tan1Isha B. Patel2Amanda Reiff3Rajesh Balkrishnan4Jongwha Chang5The University of Texas, Austin, TX, USAThe University of Michigan, Ann Arbor, MI, USAThe University of Michigan, Ann Arbor, MI, USAPenn State College of Medicine, Hershey, PA, USAThe University of Michigan, Ann Arbor, MI, USASamford University, Birmingham, AL, USABackground: A health care reform has been taking place to provide cost-effective and coordinated care. One method of achieving these goals is a patient-centered medical home (PCMH) model, which is associated with provision of quality care among children belonging to racial/ethnic minorities. Despite the potential of the PCMH for children of minority backgrounds, little is known about the extent to which minorities with mental disorders have the PCMH. Objective: The study examined racial/ethnic disparities among children with mental disorders in accessing care from the PCMH. Methods: The 2009-2010 National Survey of Children with Special Health Care Needs (CSHCN) was used for this analysis. Multivariate logistic regressions were applied to capture the racial/ethnic disparities and to analyze a composite outcome of the PCMH. Results: An estimated population size of 4 677 904 CSHCN with mental disorders was included. Among them, 59.94% of children reported to have received medical homes. Compared with white children, the odds of receiving any medical home services decreased among Hispanic children (odds ratio [OR] = 0.69; P < .05) and black children (OR = 0.70; P < .05). The likelihood of having a medical home was lower for Hispanic children than white children, when they had attention deficit hyperactivity disorder (ADHD; OR = 0.57; P < .05) and development delay (OR = 0.73; P < .05). Compared with white children with ADHD or depression having a medical home, the odds of black children with ADHD (OR = 0.63; P < .05) and depression (OR = 0.68; P < .05) having a medical home were lower. Conclusions: There were significant racial/ethnic disparities among CSHCN with mental disorders, indicating several sizeable effects of each of the 5 components on Hispanic, black, and other children compared with white children. These differences could be a potential to improve racial/ethnic disparities.https://doi.org/10.1177/2150131914539814 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chanhyun Park Xi Tan Isha B. Patel Amanda Reiff Rajesh Balkrishnan Jongwha Chang |
spellingShingle |
Chanhyun Park Xi Tan Isha B. Patel Amanda Reiff Rajesh Balkrishnan Jongwha Chang Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders Journal of Primary Care & Community Health |
author_facet |
Chanhyun Park Xi Tan Isha B. Patel Amanda Reiff Rajesh Balkrishnan Jongwha Chang |
author_sort |
Chanhyun Park |
title |
Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders |
title_short |
Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders |
title_full |
Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders |
title_fullStr |
Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders |
title_full_unstemmed |
Racial Health Disparities Among Special Health Care Needs Children With Mental Disorders |
title_sort |
racial health disparities among special health care needs children with mental disorders |
publisher |
SAGE Publishing |
series |
Journal of Primary Care & Community Health |
issn |
2150-1319 2150-1327 |
publishDate |
2014-10-01 |
description |
Background: A health care reform has been taking place to provide cost-effective and coordinated care. One method of achieving these goals is a patient-centered medical home (PCMH) model, which is associated with provision of quality care among children belonging to racial/ethnic minorities. Despite the potential of the PCMH for children of minority backgrounds, little is known about the extent to which minorities with mental disorders have the PCMH. Objective: The study examined racial/ethnic disparities among children with mental disorders in accessing care from the PCMH. Methods: The 2009-2010 National Survey of Children with Special Health Care Needs (CSHCN) was used for this analysis. Multivariate logistic regressions were applied to capture the racial/ethnic disparities and to analyze a composite outcome of the PCMH. Results: An estimated population size of 4 677 904 CSHCN with mental disorders was included. Among them, 59.94% of children reported to have received medical homes. Compared with white children, the odds of receiving any medical home services decreased among Hispanic children (odds ratio [OR] = 0.69; P < .05) and black children (OR = 0.70; P < .05). The likelihood of having a medical home was lower for Hispanic children than white children, when they had attention deficit hyperactivity disorder (ADHD; OR = 0.57; P < .05) and development delay (OR = 0.73; P < .05). Compared with white children with ADHD or depression having a medical home, the odds of black children with ADHD (OR = 0.63; P < .05) and depression (OR = 0.68; P < .05) having a medical home were lower. Conclusions: There were significant racial/ethnic disparities among CSHCN with mental disorders, indicating several sizeable effects of each of the 5 components on Hispanic, black, and other children compared with white children. These differences could be a potential to improve racial/ethnic disparities. |
url |
https://doi.org/10.1177/2150131914539814 |
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