Titre :
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Health-care use and expenditures for children in special education with special health-care needs : Is dual classification a marker for high use ? (2007)
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Auteurs :
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SICES (Laura) : USA. Department of Pediatrics. Case Western Reserve University. Cleveland. OH. ;
HARMAN (Jeffrey-S) : USA. Department of Health Services Research. Management. And Policy. College of Public Health and Health Professions. The University of Florida. Gainesville. FL. ;
KELLEHER (Kelly-J) : USA. Department of Pediatrics. The Ohio State University. Columbus. OH.
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Type de document :
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Article
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Dans :
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Public health reports (vol. 122, n° 4, 2007)
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Pagination :
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531-540
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Langues:
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Anglais
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Mots-clés :
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Soins
;
Utilisation
;
Dépense
;
Enfant
;
Personne handicapée
;
Handicap
;
Classification
;
Homme
;
Amérique
;
Maladie chronique
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS ZZLsKR0x. Diffusion soumise à autorisation]. Objectives. Children with special health-care needs are an important group for policy and research planning. Special education engages a group of children with increased utilization of services related to education. While increased service utilization in education or health-care settings is often used to classify children as having special needs, considerable heterogeneity exists within each group. The extent to which being identified in two functionally defined systems-special education and health care-relates to health-care utilization is unknown. We sought to determine health-care and mental health utilization and expenditures for children dually classified as receiving special education and having special health-care needs (SHCN) compared with those who only have SHCN, only are in special education, or don't fall into either category. Methods. A nationally representative sample of children aged 5-17 years from the Medical Expenditure Panel Survey was used to compare mean health-care and mental health utilization and expenditures for the four groups. Results. Dually classified children had significantly higher mean utilization of health-care services than the other three groups (p
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