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  11. The Impact Of Health Status On Health Care Utilization Of Children In Foster Care

The Impact of Health Status on Health Care Utilization of Children in Foster Care

Jill D McLeigh1, Gunjan Singh1,2, Rong Huang3

  • 1Rees-Jones Center for Foster Care Excellence, Children's Health, Dallas, TX.

Journal of Developmental and Behavioral Pediatrics : JDBP
|July 18, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Children in foster care often have complex chronic health conditions, leading to increased hospital resource utilization. Targeted hospital-based clinics and care coordination are recommended for this vulnerable population.

Area of Science:

  • Pediatric Health
  • Health Services Research
  • Child Welfare

Background:

  • Children in foster care represent a vulnerable population with unique health needs.
  • Understanding their health status and healthcare utilization is crucial for effective resource allocation.

Purpose of the Study:

  • To assess the health status of children in foster care.
  • To examine the relationship between health status and healthcare utilization.
  • To identify demographic and placement factors influencing healthcare use.

Main Methods:

  • Utilized electronic health records of 4976 children in foster care (2017-2020).
  • Classified health status using an algorithm: nonchronic, noncomplex chronic, or complex chronic.
  • Employed descriptive statistics, chi-squared, Kruskal-Wallis, pairwise comparisons, and zero-inflated negative binomial (ZINB) regression.

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Main Results:

  • 35.6% of children exhibited complex chronic health status.
  • Significant differences in age, gender, ethnicity, and maltreatment exposure were observed across health status groups.
  • Complex chronic health status was strongly associated with higher utilization of emergency services, hospital admissions, primary/specialty care, and therapies.

Conclusions:

  • A substantial proportion of children in foster care have complex chronic health conditions.
  • These children demonstrate significantly higher healthcare resource utilization.
  • Hospital-based clinics and enhanced care coordination are suggested interventions for this population.