This study sought associations between maltreated children's receipt of needed health care and five other variables or sets of variables: medical need, social structural factors, access to care, demographic factors, and child welfare intervention. Data for this study came from longitudinal records derived for a sample of 1,465 children (extracted from all records in a national data set) for whom maltreatment had been substantiated. Children in the sample had, following substantiation, either remained in the home or been placed in kinship care or other out-of-home setting. Generalized estimating equations were applied to the data. The results supported a negative association between the sample's receipt of needed health care and three factors: general physical health, age, and remaining in the home after substantiation. Data analysis also supported a positive association between receiving needed care and Medicaid receipt, family income of between 100 percent and 200 percent of federal poverty level, family income above 200 percent of federal poverty level, needed health care services included in child welfare case plan, and wave 2 interview. The study's implications for social work practice include the necessity of accurately identifying children's health problems, of addressing health needs in the case plan, and of coordinating meaningfully with health professionals.

中文翻译：

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为接受儿童福利服务的虐待儿童提供医疗保健。

这项研究试图寻找虐待儿童获得所需医疗保健与其他五个或一组变量之间的关联：医疗需求，社会结构因素，获得医疗的机会，人口统计学因素和儿童福利干预措施。这项研究的数据来自对1465名被证实虐待的儿童样本的纵向记录（从国家数据集中的所有记录中提取）。经证实，样本中的儿童要么留在家里，要么被安置在亲戚关系或其他户外环境中。将广义估计方程应用于数据。结果支持了样本所需医疗保健的接受与三个因素之间的负相关：三个方面：总体身体健康，年龄以及证实后留在家里。数据分析还支持所需的护理与医疗补助收据，家庭收入在联邦贫困线的100％至200％，家庭收入在联邦贫困线的200％以上，儿童保健案例计划中包括的所需医疗保健，和Wave 2面试。该研究对社会工作实践的影响包括：必须准确识别儿童的健康问题，在病案计划中解决健康需求，并与卫生专业人员进行有意义的协调。和Wave 2面试。该研究对社会工作实践的影响包括：必须准确识别儿童的健康问题，在病案计划中解决健康需求，并与卫生专业人员进行有意义的协调。和Wave 2面试。该研究对社会工作实践的影响包括：必须准确识别儿童的健康问题，在病案计划中解决健康需求，并与卫生专业人员进行有意义的协调。