Dataset Information

Parental mental and pain-related health and pediatric ambulatory care sensitive emergency department visits and hospitalizations.

ABSTRACT:

Objective

To investigate the types of parental psychiatric and pain-related (PR) conditions that are associated with inadequate management of children's health and medical needs.

Data sources

The 1997-1998 Thomson/Medstat MarketScan claims and administrative dataset.

Study design

A cross-sectional study that assessed the associations between parents' claims for psychiatric and PR conditions, and their children's well-child care as well as emergency department (ED) visits and hospitalizations for conditions that can be treated effectively in outpatient settings (ambulatory care sensitive [ACS] conditions).

Data extraction methods

Claims were extracted for 258,313 children of ages 0-17 years and their parents, who had insurance coverage for a full 2-year period.

Principle findings

Multiple parental psychiatric and PR diagnoses were associated with child ACS emergency services/hospitalizations. Maternal depression was negatively associated with a child having the recommended well-child visits (odds ratio [OR]: 0.92, 95 percent confidence intervals [CI]: 0.84-0.99). The combined diagnoses of maternal depression and back pain was positively associated with a child having an ACS-ED visit (OR: 1.64, 95 percent CI: 1.33-2.03) and a child having an ACS hospitalization (OR: 2.04, 95 percent CI: 1.34-3.09).

Conclusions

Pediatricians' ability to manage child health may be enhanced with coordinated management of parental psychopathology and PR health conditions.

SUBMITTER: Logan JE

PROVIDER: S-EPMC2442379 | biostudies-literature | 2008 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Parental mental and pain-related health and pediatric ambulatory care sensitive emergency department visits and hospitalizations.

Logan Joseph E JE Riley Anne W AW Barker Lawrence E LE

Health services research 20080401 2

<h4>Objective</h4>To investigate the types of parental psychiatric and pain-related (PR) conditions that are associated with inadequate management of children's health and medical needs.<h4>Data sources</h4>The 1997-1998 Thomson/Medstat MarketScan claims and administrative dataset.<h4>Study design</h4>A cross-sectional study that assessed the associations between parents' claims for psychiatric and PR conditions, and their children's well-child care as well as emergency department (ED) visits an ...[more]

PMID: 18370972

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Dataset Information

Parental mental and pain-related health and pediatric ambulatory care sensitive emergency department visits and hospitalizations.

Objective

Data sources

Study design

Data extraction methods

Principle findings

Conclusions

Publications

Parental mental and pain-related health and pediatric ambulatory care sensitive emergency department visits and hospitalizations.

Similar Datasets

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