Cited by 139Adolescent and Pediatric HealthcareChild and Adolescent HealthFamily and Disability Support Research

Associations of Family-Centered Care with Health Care Outcomes for Children with Special Health Care Needs

Kuo, Dennis Z., Bird, T. Mac, Tilford, J. Mick·2011·Maternal and Child Health Journal

Abstract

The objective of this study is to examine the association of family-centered care (FCC) with specific health care service outcomes for children with special health care needs (CSHCN). The study is a secondary analysis of the 2005-2006 National Survey of Children with Special Health Care Needs. Receipt of FCC was determined by five questions regarding how well health care providers addressed family concerns in the prior 12 months. We measured family burden by reports of delayed health care, unmet need, financial costs, and time devoted to care; health status, by stability of health care needs; and emergency department and outpatient service use. All statistical analyses used propensity score-based matching models to address selection bias. FCC was reported by 65.6% of respondents (N = 38,915). FCC was associated with less delayed health care (AOR: 0.56; 95% CI: 0.48, 0.66), fewer unmet service needs (AOR: 0.53; 95% CI: 0.47, 0.60), reduced odds of ≥1 h/week coordinating care (AOR: 0.83; 95% CI: 0.74, 0.93) and reductions in out of pocket costs (AOR: 0.88; 95% CI: 0.80, 0.96). FCC was associated with more stable health care needs (AOR: 1.11; 95% CI: 1.01, 1.21), reduced odds of emergency room visits (AOR: 0.90; 95% CI: 0.82, 0.99) and increased odds of doctor visits (AOR: 1.25; 95% CI: 1.14, 1.37). Our study demonstrates associations of positive health and family outcomes with FCC. Realizing the health care delivery benefits of FCC may require additional encounters to build key…

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Crossref · 10.1007/s10995-010-0648-x

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  • Considerable time and repeated visits with providers may be needed to build family support and partnering.

    “Considerable time and repeated visits with providers may be needed to build family support and partnering [68, 80, 81].”
  • Studies examining family roles and levels of involvement within health care found that the strongest evidence for efficacy of FCC is in efficient use of resources and supporting health/mental health/well-being, and to a lesser extent in transition and cost containment.

    “Studies examining family roles and levels of involvement within health care found that the strongest evidence for efficacy of FCC is in efficient use of resources and supporting health/mental health/well-being, and to a lesser extent in transition and cost containment [67, 68].”

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Authors
Kuo, D. Z., Bird, T. M., & Tilford, J. M.
Affiliations
University of Arkansas for Medical Sciences (US)
Corresponding author
Kuo, Dennis Z.
Venue
Maternal and Child Health Journal
Published
2010-07-17
Volume
15
Issue
6
Pages
794-805
ISSN
  • 1092-7875 (ISSN-L)
  • 1573-6628
OpenAlex
W1979704291
Cited by
139
References
45
Citations by year
2026: 3 · 2025: 6 · 2024: 8 · 2023: 5 · 2022: 12 · 2021: 6 · 2020: 13 · 2019: 10 · 2018: 13 · 2017: 13 · 2016: 11 · 2015: 12 · 2014: 10 · 2013: 8 · 2012: 4
FWCI
15.02
Type
journal article
Language
en
Open access
closed
Locations
  • Maternal and Child Health Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
family-centered care, children with special health care needs, family burden, unmet service needs, out-of-pocket costs, care coordination, emergency department visits
MeSH terms
Adolescent, Child, Child Health Services, Child, Preschool, Health Services Needs and Demand, Humans, Infant, Infant, Newborn, Physician-Patient Relations, United States, Treatment Outcome, Children with Disabilities, Family Nursing

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