Table 3.
Crude and adjusted odds ratios of not receiving effective care coordination, having inadequate health insurance coverage, and related components among children with muscular dystrophy,a NS-CSHCN 2005-2006 and 2009-2010: results from multivariable logistic regression.
| Did not receive effective care coordinationb |
Had inadequate current health insurance coveragec |
Received no help coordinating care (among those who needed extra help) |
Had problems obtaining referrals (among those who needed referrals) |
|||||
|---|---|---|---|---|---|---|---|---|
| Crude OR (95% CI) |
aORd (95% CI) |
Crude OR (95% CI) |
aORe (95% CI) |
Crude OR (95% CI) |
aORf (95% CI) |
Crude OR (95% CI) |
aORg (95% CI) |
|
| Survey cycle | ||||||||
| 2005-2006 | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| 2009-2010 | 0.79 | 0.77 | 0.41 | 0.41 | 1.73 | 4.22 | 0.66 | 0.52 |
| (0.35–1.81) | (0.32–1.89) | (0.17–1.02) | (0.18–0.93)* | (0.64–4.68) | (1.24–14.29)* | (0.17–2.55) | (0.17–1.59) | |
aOR: adjusted odds ratio; CI: confidence interval; NS-CSHCN: National Survey of Children with Special Health Care Needs; NH: non-Hispanic.
Children with muscular dystrophy were identified by some version of the question “does your child currently have muscular dystrophy?” in both survey cycles.
Not receiving effective care coordination was determined by having affirmative responses to never or sometimes getting sufficient help coordinating care when needed and not being very satisfied with communication between doctors and each other, and doctors and other programs when needed.
inadequate current health insurance coverage was determined by having responses of “never” or “sometimes” to having health insurance that covers services, had reasonable out-of-pocket expenses, and allowed child to see needed health providers.
Adjusted odds ratio for “did not receive effective care coordination” adjusted for sex, age group, race/ethnicity, highest education level, family-centered care, and current insurance type.
Adjusted odds ratio for “had inadequate current insurance coverage” adjusted for sex, age group, race/ethnicity, usual source for sick care, and current insurance type.
Adjusted odds ratio for “received no help coordinating care” adjusted for sex, age group, race/ethnicity, activity limitations, family-centered care, and current insurance type.
Adjusted odds ratio for “had problems getting referrals” adjusted for sex, age group, race/ethnicity, and usual source for sick care.
p < 0.05.