Table 4.
Adjusted Odds Ratio of Youth with Special Health Care Needs, Ages 12 to 18, Not Meeting the Adequate Transition Preparation Outcome, According to Selected Health Care System-related Factors: United States, 2009–2010
| Components, adjusted OR (CI)a | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Did not discuss shift to adult provider | Did not discuss adult health care needs | Did not discuss health insurance | Youth not usually/always encouraged to take responsibility | Youth did not receive adequate transition preparation | ||||||
| Phase 1 | Phase 2 | Phase 1 | Phase 2 | Phase 1 | Phase 2 | Phase 1 | Phase 2 | Phase 1 | Phase 2 | |
| SDM | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| No | 1.55 (1.23–1.95)*** | 1.41 (1.11–1.79)** | 2.72 (2.34–3.17)*** | 2.43 (1.07–2.85)*** | 1.65 (1.35–2.01)*** | 1.58 (1.28–1.96)*** | 4.03 (3.40–4.78)*** | 3.42 (2.89–4.10)*** | 1.93 (1.63–2.29)*** | 1.73 (1.44–2.07)*** |
| Medical home | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
| No | 0.97 (0.80–1.17) | 1.13 (1.00–1.29) | 1.21 (1.04–1.42)* | 1.91 (1.59–2.31)*** | 1.18 (1.03–1.35)* | |||||
| Personal doctor or nurse | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
| No | 0.95 (0.65–1.41) | 0.92 (0.71–1.19) | 1.10 (0.81–1.48) | 1.18 (0.85–1.64) | 0.90 (0.68–1.19) | |||||
| Usual sources of sick or well care | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
| No | 0.61 (0.44–0.83)** | 0.84 (0.69–1.03) | 1.01 (0.79–1.29) | 0.96 (0.75–1.24) | 0.83 (0.66–1.03) | |||||
| Family-centered care | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
| No | 1.05 (0.83–1.33) | 1.18 (1.02–1.36)* | 1.04 (0.86–1.25) | 1.77 (1.47–2.12)*** | 1.26 (1.06–1.50)** | |||||
| NA | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | |||||
| No referral problems | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
| No | 0.91 (0.61–1.35) | 1.06 (0.80–1.40) | 0.78 (0.53–1.14) | 1.11 (0.79–1.56) | 1.03 (0.76–1.40) | |||||
| NA | 0.93 (0.75–1.15) | 0.99 (0.86–1.14) | 0.87 (0.74–1.03) | 1.18 (0.97–1.43) | 1.03 (0.89–1.20) | |||||
| Effective care coordination | ||||||||||
| Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | |||||
| No | 1.36 (1.08–1.72)** | 1.38 (1.19–1.61)*** | 1.44 (1.20–1.73)*** | 0.77 (0.65–0.91)*** | 1.30 (0.99–1.72)** | |||||
| NA | 1.39 (1.08–1.78)* | 1.22 (1.05–1.42) | 1.00 (0.84–1.19) | 1.13 (0.97–1.33) | 0.88 (0.75–1.03) | |||||
a
Adjusted for sex, age, race/ethnicity, primary household language, parental education, income, insurance status, impact on activities, presence of an emotional, behavioral or developmental condition, medical complexity.*P < .05, **P < .01, ***P < .001.
CI, confidence interval; NA, not applicable; OR, odds ratio; SDM, shared decision making.