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Healthcare Utilization Patterns Among Children With a History of Child Protective Services Investigations.
Violence and Victims ( IF 1.1 ) Pub Date : 2020-12-01 , DOI: 10.1891/vv-d-19-00122
Christian L Carr 1 , Jill McLeigh 2 , Heidi Roman 3 , Jessica B Fults 3 , Jennifer Reingle Gonzalez 2 , Corron Sanders 4 , Michiko Otsuki Clutter 2 , Ray Tsai 4 , Katelyn K Jetelina 3
Affiliation  

PURPOSE Examine whether children with a prior child protective services (CPS) investigation had different healthcare utilization compared to children without a history of CPS investigations. METHODS The Children's Health Assessment and Planning Survey assessed 6,492 primary caregivers of children ages 0-17 years residing in North Texas in 2015. Caregivers reported prior CPS investigations and child healthcare utilization (emergency department [ED] use, unmet medication needs, and unmet medical care needs). PRINCIPLE FINDINGS A total of 408 (5%) caregivers reported their child had a CPS investigation. Children with CPS investigations had greater odds of visiting the ED (OR = 1.9; 95% CI: 1.4, 2.5) and not receiving necessary medical care (OR = 1.9; 95% CI: 1.4, 2.8) compared to children without a CPS investigation. CONCLUSIONS Prior CPS investigation was associated with disparities in receipt of necessary medical care and ED utilization for children.

中文翻译:

有儿童保护服务调查史的儿童的医疗保健利用模式。

目的 检查与没有 CPS 调查史的儿童相比,接受过儿童保护服务 (CPS) 调查的儿童是否具有不同的医疗保健利用。方法 儿童健康评估和规划调查于 2015 年对居住在北德克萨斯州的 0-17 岁儿童的 6,492 名主要照顾者进行了评估。护理需要)。主要调查结果 共有 408 (5%) 名看护人报告说他们的孩子接受了 CPS 调查。与没有接受 CPS 调查的儿童相比,接受过 CPS 调查的儿童访问急诊室(OR = 1.9;95% CI:1.4, 2.5)和未接受必要的医疗护理(OR = 1.9;95% CI:1.4, 2.8)的几率更大.
更新日期:2020-12-01
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