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. Author manuscript; available in PMC: 2019 Jan 1.
Published in final edited form as: J Pediatr. 2017 Nov 6;192:216–222. doi: 10.1016/j.jpeds.2017.09.001

Table 1. Characteristics of Non-Complex CSHCN (NC) versus Children with Medical Complexity (CMC)a.

All data represent the % of children in the group with that characteristic (i.e. “column %”) unless otherwise noted

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

a

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.

b

Percentages of diagnoses will add up to more than 100% as patients may have more than one diagnosis.

c

Behavioral comorbidity defined as having one or more of: ADHD, depression, anxiety, behavioral disorder (i.e. oppositional defiant disorder).

d

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

e

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

f

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.