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Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A
Bibiana Pérez-Ardanaz1, María José Peláez-Cantero2, María González-Cano-Caballero3
1Faculty of Health Sciences, Universidad de Málaga, 29071 Málaga, Spain.
Insights
Many parents of children with complex chronic conditions use additional healthcare resources. Parental education and occupation influence the use of these parallel health services, potentially impacting health equity.
Area of Science:
- Pediatric Healthcare
- Health Services Research
- Social Determinants of Health
Background:
- Children with complex chronic conditions require extensive health and social care.
- Parents often seek supplementary resources like alternative therapies and private consultations.
- The utilization of these parallel resources may exacerbate health inequalities.
Purpose of the Study:
- To characterize the use of alternative healthcare resources for children with complex chronic conditions.
- To evaluate how sociodemographic factors influence the utilization of these resources.
Main Methods:
- Cross-sectional study conducted at a tertiary hospital in Granada, Spain (2016).
- Analysis of healthcare resource utilization and socioeconomic variables for 265 children.
- Research adhered to STROBE guidelines for observational studies.
Main Results:
- 39.6% of children had private specialist consultations; 12.1% had private health insurance.
- One-third of parents joined mutual support associations; 26% used alternative therapies.
- Children with parents of higher educational and occupational status utilized more parallel healthcare resources.
Conclusions:
- A significant number of children access multiple health resources beyond the public system, influenced by sociodemographic factors.
- Further research is necessary to ascertain if these alternative services improve health outcomes.
Background:
Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The use of these alternative health resources is sometimes unclear and may lead to health inequalities. To characterize the use made of alternative healthcare resources for children with complex chronic conditions. Additionally, we evaluate the influence of sociodemographic factors on the distribution of this utilization of resources; (2) Methods: Cross-sectional study. Children with complex chronic diseases were treated at a tertiary hospital in Granada, Spain in 2016. We analyzed their use of healthcare resources and socioeconomic variables. This research complies with STROBE guidelines for observational studies; (3) Results: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63). A total of 105 children (39.6%) attended private consultations with specialists, and 12.1% (n = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (n = 78), and 26% (n = 69) of the children used alternative therapies. Furthermore, 75.4% (n = 199) of the children received no psychological support. Children whose parents had a higher educational level and occupations status made greater use of parallel healthcare resources.; (4) Conclusions: A significant proportion of children used multiple health resources in addition to the public healthcare system depending on sociodemographic determinants. Studies are needed to determine whether the use of these alternative services achieves better levels of health.
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