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