Abstract:
:We examine the financial and time burdens associated with caring for children with chronic conditions, focusing on disparities across types of conditions. Using linked data from the 2003 to 2006 National Health Interview Survey and 2004-2008 Medical Expenditure Panel Survey, we created measures of financial burden (out-of-pocket healthcare costs, the ratio of out-of-pocket healthcare costs to family income, healthcare costs paid by insurance, and total healthcare costs) and time burden (missed school time due to illness or injury and the number of doctor visits) associated with 14 groups of children's chronic conditions. We used the two-part model to assess the effect of condition on financial burden and finite mixture/latent class model to analyze the time burden of caregiving. Controlling for the influences of other socio-demographic characteristics on caregiving burden, children with chronic conditions have higher financial and time burdens relative to caregiving burdens for healthy children. Levels of financial burden and burden sharing between families and insurance system also vary by type of condition. For example, children with pervasive developmental disorder or heart disease have a relatively low financial burden for families, while imposing a high cost on the insurance system. In contrast, vision difficulties are associated with a high financial burden for families relative to the costs borne by others. With respect to time burden, conditions such as cerebral palsy and heart disease impose a low time burden, while conditions such as pervasive developmental disorder are associated with a high time burden. This study demonstrates that differences exist in caregiving burden for children by type of chronic condition. Each condition has a unique profile of time and financial cost burden for families and the insurance system. These results have implications for policymakers and for families' savings and employment decisions.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Zan H,Scharff RLdoi
10.1007/s10995-014-1547-3subject
Has Abstractpub_date
2015-03-01 00:00:00pages
615-25issue
3eissn
1092-7875issn
1573-6628journal_volume
19pub_type
杂志文章abstract::This study extends mediation analysis techniques to explore whether and to what extent differential access to a medical home explains the black/white disparity in unmet healthcare needs among children with special healthcare needs (CSHCN). Data were obtained from the 2007 National Survey of Children's Health, with ana...
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journal_title:Maternal and child health journal
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journal_title:Maternal and child health journal
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更新日期:2013-07-01 00:00:00
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doi:10.1007/s10995-007-0231-2
更新日期:2008-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 评论,杂志文章
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journal_title:Maternal and child health journal
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更新日期:2006-05-01 00:00:00
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-011-0768-y
更新日期:2012-04-01 00:00:00
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更新日期:2002-03-01 00:00:00
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更新日期:2006-09-01 00:00:00
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更新日期:2018-12-01 00:00:00
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更新日期:2015-06-01 00:00:00
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doi:10.1007/s10995-006-0108-9
更新日期:2006-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-011-0759-z
更新日期:2012-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00