Table 1. Characteristics of Non-Complex CSHCN (NC) versus Children with Medical Complexity (CMC)a.
NC overall | CMC overall | |
---|---|---|
|
||
n=37,377 | n=2499 | |
|
||
Characteristic | Weighted n=10,291,328 | Weighted n=711742 |
Child age – mean (SE) in years** | 10.0 (0.04) | 9.0 (0.17) |
Male* | 58.9 | 63.9 |
| ||
Special Health Care Needs Criteria | ||
| ||
Needs/uses prescription medicines** | 75.7 | 84.5 |
Needs/uses more medical care than usual** | 38.1 | 100.0 |
Functional limitations more than usual** | 18.7 | 91.2 |
Needs/uses special therapies** | 17.2 | 84.3 |
Needs/uses treatment for emotional/developmental/behavioral issues** | 28.3 | 80.3 |
| ||
Functional Limitations to Daily Activities** | ||
| ||
Never Affected | 36.8 | 0.9 |
Moderately Affected | 40.1 | 16.8 |
A Great Deal Affected | 23.1 | 82.3 |
| ||
Highest Household Education Level | ||
| ||
Less than HS | 11.3 | 8.4 |
HS Graduate | 20.0 | 18.1 |
More than HS | 68.7 | 73.5 |
| ||
Household Income, by % federal poverty level | ||
| ||
0–99% | 22.1 | 22.5 |
100–199% | 21.8 | 22.9 |
200–399% | 28.5 | 28.5 |
400+% | 27.6 | 26.1 |
| ||
Household Characteristics | ||
| ||
Single Mother Household | 25.3 | 25.1 |
Household Language Spanish | 5.7 | 5.9 |
| ||
Child Race/Ethnicity | ||
| ||
Hispanic | 16.7 | 16.6 |
Non-Hispanic, White | 59.2 | 63.0 |
Non-Hispanic, Black | 16.3 | 12.2 |
Other | 7.8 | 8.2 |
| ||
Child Diagnosisb | ||
| ||
Diabetes | 1.7 | 2.0 |
Asthma** | 35.6 | 29.1 |
ADHD** | 27.9 | 40.3 |
Depression** | 9.2 | 20.0 |
Anxiety** | 14.7 | 40.0 |
Behavioral Disorder** | 11.8 | 28.9 |
Autism Spectrum Disorder** | 6.0 | 30.2 |
Developmental Delay** | 13.6 | 62.9 |
Intellectual Disability** | 4.0 | 28.3 |
Seizures** | 2.1 | 17.3 |
Cerebral Palsy** | 0.9 | 11.4 |
Muscular Dystrophy** | 0.2 | 1.5 |
Down Syndrome** | 0.8 | 4.8 |
Joint Problems** | 2.4 | 11.0 |
Allergies** | 48.2 | 52.4 |
Behavioral Comorbidity**,c | 37.6 | 59.9 |
| ||
Child Health Care Characteristics | ||
| ||
Family Centered Care**,d | 65.2 | 57.1 |
Patient Centered Medical Home**,e | 44.4 | 23.4 |
| ||
Insurance** | ||
| ||
Private | 53.6 | 36.4 |
Public | 35.4 | 42.8 |
Both | 7.5 | 19.2 |
Uninsured | 3.6 | 1.7 |
| ||
Health Care Utilization (Last 12 months) | ||
| ||
Number of ER visits – mean (SE)** | 0.9 (0.02) | 2.0 (0.12) |
Number of well child care – mean (SE)** | 1.4 (0.01) | 1.9 (0.08) |
Number of specialty visits – mean (SE)** | 0.7 (0.01) | 3.4 (0.07) |
Received All Specialty Care Needed**,f | 96.1 | 90.2 |
Results are weighted based on standard methods for the NS-CSHCN to reflect national estimates of the US population.26
All comparisons by Student’s t-test for continuous data and by Rao-Scott Chi-squared test for categorical data:
p<0.05;
p<0.001.
Percentages of diagnoses will add up to more than 100% as patients may have more than one diagnosis.
Behavioral comorbidity defined as having one or more of: ADHD, depression, anxiety, behavioral disorder (i.e. oppositional defiant disorder).
Family centered care: “usually” or “always” responses to all five descriptions of the child’s medical provider: (1) spends enough time with them, (2) listens carefully, (3) is sensitive to the family culture/values, (4) provides enough information, and (5) makes the family feel like partners.26
Patient centered medical home: “usually” or “always” responses to all five of the following: (1) having a usual source of care, (2) having a personal doctor or nurse, (3) obtaining all needed referrals for specialty care, (4) receiving help in coordinating health-related care, and (5) receiving FCC.26
Specialty care needed: Answered “no” to needing care from a specialty doctor in the past 12 months or answered “yes” to needing care from a specialty doctor in the past 12 months and “yes” to receiving all the care from a specialty doctor that they needed.