Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Health Serv Res. 2008 Apr;43(2):656-74. doi: 10.1111/j.1475-6773.2007.00790.x.

Parental mental and pain-related health and pediatric ambulatory care sensitive emergency department visits and hospitalizations.

Author information

  • 1Division of Violence Prevention, Etiology and Surveillance Branch, The Centers for Disease Control and Prevention, 4770 Buford Highway, MS-K60, Atlanta, GA 30341-3724, USA.

Abstract

OBJECTIVE:

To investigate the types of parental psychiatric and pain-related (PR) conditions that are associated with inadequate management of children's health and medical needs.

DATA SOURCES:

The 1997-1998 Thomson/Medstat MarketScan claims and administrative dataset.

STUDY DESIGN:

A cross-sectional study that assessed the associations between parents' claims for psychiatric and PR conditions, and their children's well-child care as well as emergency department (ED) visits and hospitalizations for conditions that can be treated effectively in outpatient settings (ambulatory care sensitive [ACS] conditions).

DATA EXTRACTION METHODS:

Claims were extracted for 258,313 children of ages 0-17 years and their parents, who had insurance coverage for a full 2-year period.

PRINCIPLE FINDINGS:

Multiple parental psychiatric and PR diagnoses were associated with child ACS emergency services/hospitalizations. Maternal depression was negatively associated with a child having the recommended well-child visits (odds ratio [OR]: 0.92, 95 percent confidence intervals [CI]: 0.84-0.99). The combined diagnoses of maternal depression and back pain was positively associated with a child having an ACS-ED visit (OR: 1.64, 95 percent CI: 1.33-2.03) and a child having an ACS hospitalization (OR: 2.04, 95 percent CI: 1.34-3.09).

CONCLUSIONS:

Pediatricians' ability to manage child health may be enhanced with coordinated management of parental psychopathology and PR health conditions.

PMID:
18370972
[PubMed - indexed for MEDLINE]
PMCID:
PMC2442379
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Blackwell Publishing Icon for PubMed Central
    Loading ...
    Write to the Help Desk