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Cited by 17School Health and Nursing EducationAdolescent and Pediatric HealthcareChild and Adolescent Health

Prevalence and Characteristics of Providers’ Care Coordination Communication With Schools

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Geffel, Krissy Moehling, Lombardi, Brianna M., Yu, Justin A., Bogen, Debra·2022·Academic Pediatrics
DOI 10.1016/j.acap.2022.01.009PMC PMC9314454
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Abstract

Objectives Care coordination between schools and medical providers promotes child health, particularly for children with physical, emotional, and behavioral challenges. The purpose of this study was to assess caregivers' reports of provider-school communication for their children. Further, the study assessed if communication rates varied by child demographic or health conditions. Methods This study was a cross-sectional analysis of the 2016-2017 National Survey of Children's Health focused on school-aged children (age 6-17 years; n = 18,160). Weighted frequencies overall and stratified by provider-school communication status are reported. Multivariable logistic regression examined associations of provider-school communication. Results Only 23.5% of the total sample reported provider-school communication. The highest caregiver-reported communication prevalence was for children with diabetes (68.0%). Behavioral/mental health conditions, chronic physical health conditions or having increased medical complexity and needs were significantly associated with increased communication compared to those without these conditions. Odds Ratio (OR) and 95% Confidence Intervals (CI) for children with a behavioral/mental health condition were OR: 1.28; CI: 1.02 to 1.61, for children with a chronic physical health condition were OR: 1.37; CI: 1.15 to 1.63 and for children with special health care needs or with medical complexity were OR: 2.15; CI: 1.75 to 2.64 and OR: 1.77; CI: 1.09 to 2.87, respectively. Significant communication differences existed for every health condition (P < 0.05) except for children who had a blood disorder (P = 0.365). Conclusions Caregiver perception of provider-school communication is low and differences in reported rates existed between health conditions and complexity status. Further work is needed to support provider-school-family communication for children with physical, mental, behavioral, and complex health conditions.

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  • In a national study of the general child population, 23.5% of caregivers reported that health care providers communicated with their child's school, daycare or special education program.

    “In a national study of the general child population, 23.5% of caregivers reported that health care providers communicated with their child’s school, daycare or special education program (Geffel et al., 2022).”

    From Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children (2026) · cites this paper as Geffel et al., 2022

    The Results (Caregiver Perceived Health Care Provider-School Communication; page unavailable) report the claimed 23.5% caregiver-reported rate. However, the Methods (Study Population; page unavailable) restrict the analysis to children aged 6–17 with a health care visit in the past year and exclude caregivers who said communication was not needed. The figure therefore does not describe the general child population. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Caregiver-reported provider/school communication was less common for children with mental health conditions than for children with other types of physical health or medical conditions.

    “However, caregiver-reported provider/school communication was less common for children with mental health conditions than for children with other types of physical health or medical conditions (Geffel et al., 2022).”

    From Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children (2026) · cites this paper as Geffel et al., 2022

    The Results report lower odds ratios for caregiver-reported provider–school communication among children with behavioral or mental health conditions (1.28) than among those with chronic physical conditions (1.37) or medical complexity (1.77). But each odds ratio compares children with a condition to children without it; the paper does not report a direct comparison showing that communication was less common for children with mental health conditions than for children with physical or medical conditions. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

  • Parents of children with mental health conditions were more likely to report provider/school communication than children in the general population.

    “Parents of children with mental health conditions were more likely to report provider/school communication than children in the general population.”

    From Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children (2026) · cites this paper as Geffel et al., 2022

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Research works printed but not linked: 22

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Sorted by citations

Authors
Geffel, K. M., Lombardi, B. M., Yu, J. A., & Bogen, D.
Affiliations
  • University of Pittsburgh (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Geffel, Krissy Moehling
ORCID
Venue
Academic Pediatrics
Publisher
Elsevier BV
Published
2022-09
Volume
22
Issue
7
Pages
1184-1191
ISSN
1876-2859 (ISSN-L)
DOI
10.1016/j.acap.2022.01.009
PMC
PMC9314454
OpenAlex
W4210746471
Cited by
17
References
0
Citations by year
2026: 10 · 2025: 1 · 2024: 3 · 2023: 3
FWCI
2.21
Type
journal article
Language
en
Open access
Licence
Locations
  • Academic Pediatrics (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (TL1TR001858)
  • Health Resources and Services Administration (T32HP22240)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords
care coordination, elementary school students, children with special health care needs, clinical complexity, chronic physical illness, diabetes mellitus, caregiver perceptions, National Survey of Children's Health
MeSH terms
Adolescent, Child, Chronic Disease, Communication, Cross-Sectional Studies, Humans, Schools, Prevalence, Caregivers

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