Unmet service needs of families of young children with chronic illnesses and disabilities |
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Authors: | Sara A M Axtell Ann W Garwick Joän Patterson Forrest C Bennett Robert Wm Blum |
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Institution: | (1) Division of General Pediatrics and Adolescent Health, University of Minnesota, 420 Delaware St. SE, Box 721 UMHC, 55455 Minneapolis, MN;(2) Division of Health Management and Policy in the School of Public Health at the University of Minnesota, 420 Delaware St. SE, Box 97 UMHC, 55455 Minneapolis, MN;(3) University of Washington School of Medicine, CDMRC, Box 357920, 98195 Seattle, WA;(4) Department of Pediatrics at the University of Minnesota, 420 Delaware St. SE, Box 721 UMHC, 55455 Minneapolis, MN;(5) Center for Children with Chronic Illness and Disability, University of Minnesota Hospital and Clinics, 420 Delaware Street SE, Box 721, 55455 Minneapolis, MN |
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Abstract: | Data about health and educational services were collected from 187 families with young children (under two years) who have
chronic illnesses and disabilities. The purpose was to assess parents' satisfaction with services their families received
and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of
the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported
are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most
commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of
unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination
and monitoring of services across service sectors are indicated.
Her research interests include the effects of disability on family identity and families' responses to minority stress. She
received her Ph.D. from the University of Minnesota. She gratefully acknowledges Shelley Blazis and Nadav Casuto for statistical
consulting.
Her research interests focus on the impact of chronic illness and disability on families. She received her Ph.D. from the
University of Minnesota.
Her research interests include families and health and chronic illness and disability in children. She received her Ph.D.
in Family Social Science at the University of Minnesota.
His areas of interest include neurodevelopmental outcomes of low birth weight infants and training in developmental pediatrics.
He was graduated from the University of Minnesota Medical School.
His areas of interest include adolescents with chronic illness and disabilities, adolescent sexual decision making, and international
adolescent health care issues. He was graduated from Howard University College of Medicine was awarded his earned doctorate
in Health Policy from the University of Minnesota.
Preparation of this article was supported by the National Institute on Disability and Rehabilitation Research Grant #H133890012. |
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Keywords: | childhood chronic illness childhood disability family needs health care satisfaction with services |
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