National Healthcare Quality and Disparities Report
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大象视频Research Studies
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 3 of 3 Research Studies DisplayedBuckley DI, Hsu F, Dana T
Health care delivery of clinical preventive services for people with disabilities : a systematic review.
The purpose of this systematic review was to evaluate barriers and facilitators affecting preventive healthcare services for people with disabilities and assess intervention effectiveness. Researchers reviewed literature from five electronic databases through September 2024, identifying 74 studies addressing 20 recommended preventive services. Most evidence focused on breast and cervical cancer screening. Six randomized controlled trials examined educational interventions targeting patients, caregivers, and providers for people with various disabilities, yielding mixed effectiveness results. The researchers noted significant limitations including high methodological heterogeneity and limited data for most preventive services and disability types. They concluded that while barriers and facilitators are well-documented for certain cancer screenings, additional research is needed on interventions addressing these factors to improve preventive care access for people with disabilities.
Citation: Buckley DI, Hsu F, Dana T .
Health care delivery of clinical preventive services for people with disabilities : a systematic review.
Ann Intern Med 2025 May; 178(5):671-86. doi: 10.7326/annals-24-02446..
Keywords: Healthcare Delivery, Disabilities, Prevention
Kenney MK, Chanlongbutra A, Fanflick PL
大象视频Author: Chanlongbutra A
Systems of care among children and youth with special health care needs with and without adverse childhood events: National Survey of Children's Health 2016-2017.
The purpose of the study was to compare Children and Youth with Special Health Care Needs (CYSHCN) with non-CYSHCN in the likelihood of experiencing Adverse Childhood Events (ACEs), and then document the differences in receiving recommended and needed health care services among CYSHCS with and without ACEs. The researchers studied a sample of 16,304 CYSHCN from the 2016 and 2017 National Survey of Children鈥檚 Health (N=71,181). The study found that CYHSCN had a greater likelihood of having each of the measured Adverse Childhood Events, and greater likelihood of experiencing aggregated levels of ACE鈥檚 than non-CYSHCN. In addition, an increase in ACEs was related to a decrease in the likelihood of a CYSHCN having a medical home with family-centered and coordinated care. Having one or greater ACEs increased the likelihood of having unmet mental health care needs. The study concluded that the researcher鈥檚 findings extend the current understanding of the relationship between CYSHCN and ACEs, and that the need for additional work to establish care systems for this vulnerable population continues.
AHRQ-authored.
Citation: Kenney MK, Chanlongbutra A, Fanflick PL .
Systems of care among children and youth with special health care needs with and without adverse childhood events: National Survey of Children's Health 2016-2017.
Disabil Health J 2022 Apr;15(2):101226. doi: 10.1016/j.dhjo.2021.101226..
Keywords: Children/Adolescents, Disabilities, Healthcare Delivery, Vulnerable Populations
Lindly OJ, Martin AJ, Lally K
A profile of care coordination, missed school days, and unmet needs among Oregon children with special health care needs with behavioral and mental health conditions.
In order to inform Oregon's Title V needs assessment activities, researchers sought to characterize the state's subpopulation of children with special health care needs (CSHCN) with behavioral and mental health conditions (B/MHC) and to determine associations of care coordination with missed school days and unmet needs for this subpopulation. They found that among Oregon CSHCN with B/MHC, 48.9% missed 4 or more school days, 25% had one or more unmet health services need, and 14.8% had one or more unmet family support services need. They concluded that their approach to identify Oregon CSHCN with B/MHC may be adopted by other states endeavoring to improve health for this vulnerable subpopulation.
AHRQ-funded; HS000063.
Citation: Lindly OJ, Martin AJ, Lally K .
A profile of care coordination, missed school days, and unmet needs among Oregon children with special health care needs with behavioral and mental health conditions.
Community Ment Health J 2020 Nov;56(8):1571-80. doi: 10.1007/s10597-020-00609-4..
Keywords: Children/Adolescents, Disabilities, Behavioral Health, Care Coordination, Healthcare Delivery
