Related Experiment Video

Updated: Jul 3, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
11:29

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

Published on: June 20, 2020

Barriers to care among US school-aged children with disabilities

Carissa Scurlock1, Songlin Yu, Xiaofei Zhang

  • 1The Center for Injury Research and Policy, Columbus Children's Hospital, The Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.

Pediatric Emergency Care
|July 23, 2008
PubMed

Insights

Children with disabilities face significant financial barriers to healthcare, including affording prescriptions and delaying care. Uninsured children and those with activity limitations are at the highest risk for these barriers.

Area of Science:

  • Pediatric Health Economics
  • Healthcare Access and Equity
  • Disability Studies

Background:

  • Financial barriers to healthcare significantly impact children's well-being and access to necessary medical services.
  • Understanding these barriers is crucial for developing effective healthcare policies for children, especially those with disabilities.

Purpose of the Study:

  • To examine the financial barriers to healthcare experienced by school-aged children with disabilities in the United States.
  • To identify specific financial challenges, such as medication affordability and delayed care, faced by this vulnerable population.

Main Methods:

  • Analysis of data from the 2005 National Health Interview Survey.
  • Classification of 8870 school-aged children (5-17 years) into health condition groups: activity limitations, disabling conditions, chronic asthma, or no health conditions.
  • Definition of financial barriers as inability to afford prescriptions, delayed medical care, or forgone care due to cost concerns.

Main Results:

  • Children with activity limitations were significantly more likely to experience all three financial barriers compared to children without health conditions.
  • Uninsured children, regardless of health status, exhibited the highest prevalence of financial barriers.
  • Multivariate analysis identified uninsured children (OR=7.40) and children with activity limitations (OR=3.70) as having the highest risk for financial barriers to care.

Conclusions:

  • Significant financial barriers to care persist for uninsured and privately insured children with activity limitations.
  • Despite programs like the State Children's Health Insurance Program, many uninsured children continue to face challenges in accessing affordable healthcare.
Abstract

More Related Videos

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties12:55

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Barriers to Effective Communication I01:30

Barriers to Effective Communication I

A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
Learning Disabilities01:25

Learning Disabilities

Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...