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The Association Between Care Coordination and Preventive Care Among Children With Special Health Care Needs

Glenda M Ramirez1, Pamela Kum1,2, Julia J Kelly1

  • 1Valleywise Health, Phoenix, AZ, USA.

Clinical Pediatrics
|March 10, 2020
PubMed

Insights

Care coordination (CC) improves well-child care (WCC) visit attendance for children with special health care needs (CSHCN). Higher levels of CC are linked to better WCC visit adherence.

Area of Science:

  • Pediatric Health
  • Healthcare Management
  • Public Health

Background:

  • Care coordination (CC) benefits children with special health care needs (CSHCN).
  • The link between CC and well-child care (WCC) visit adherence in CSHCN is not well-established.
  • Understanding this association is crucial for optimizing CSHCN healthcare.

Purpose of the Study:

  • To investigate the association between CC and WCC visit attendance in CSHCN.
  • To determine if receiving CC increases the likelihood of CSHCN attending recommended WCC visits.
  • To quantify the impact of CC levels on WCC visit adherence.

Main Methods:

  • Retrospective cohort analysis of 15-month-old patients at Arizona Children's Center.
  • Logistic regression models were used to analyze the association.
  • Data included CC services received and WCC visit status before 15 months of age.

Main Results:

  • CC was significantly associated with higher odds of attending recommended WCC visits (aOR = 2.14).
  • A high level of CC showed even stronger association with WCC visit adherence (aOR = 2.61).
  • Pediatric CC positively impacts WCC schedule adherence in CSHCN.

Conclusions:

  • Pediatric CC is linked to improved WCC visit completion rates among CSHCN.
  • Higher intensity of CC services correlates with better adherence to WCC schedules.
  • Further research is recommended to confirm these findings and explore causal mechanisms.

Keywords:
CSHCNcare coordinationchildren with special needsobservational analysisretrospective cohortwell-child care

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