Evidence map›Paper›PMID 29980483›Full record

ArticleDisability and health journal2018

Health care utilization among children with chronic conditions in military families.

Marji Erickson Warfield, Rachel Sayko Adams, Grant A Ritter, Anne Valentine, Thomas V Williams, Mary Jo Larson

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Disability and health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Marji Erickson WarfieldStarr Center on Intellectual and Developmental Disabilities, Heller School for Social Policy and Management, Brandeis University, MS 035, 415 South Street, Waltham, MA, 02453-2728, USA. Electronic address: mew@brandeis.edu.
Rachel Sayko AdamsInstitute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, MS 035, 415 South Street, Waltham, MA, 02453-2728, USA. Electronic address: radams@brandeis.edu.
Grant A RitterInstitute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, MS 035, 415 South Street, Waltham, MA, 02453-2728, USA. Electronic address: ritter@brandeis.edu.
Anne ValentineInstitute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, MS 035, 415 South Street, Waltham, MA, 02453-2728, USA. Electronic address: anvalent@brandeis.edu.
Thomas V WilliamsNORC at the University of Chicago, 1155 East 60th Street 3rd Floor, Chicago, IL, 60637, USA. Electronic address: Williams-Thomas@norc.org.
Mary Jo LarsonInstitute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, MS 035, 415 South Street, Waltham, MA, 02453-2728, USA. Electronic address: larson@brandeis.edu.
Brandeis University · USUniversity of Chicago · US

Funding

The Impact of Parental Military Deployment on Children with DisabilitiesR21HD076340 · NICHD · BRANDEIS UNIVERSITY · PI WARFIELD, MARJI ERICKSON · 2014 to 2015
$440k
NICHD NIH HHS R21 HD076340
6 · The paper itself

Abstract

backgroundStudies have examined utilization of health care services by civilian children with chronic conditions but not utilization among child dependents of military personnel.

objectiveTo identify children with chronic conditions among military members and retirees and examine their health care utilization and its association with type of condition.

methodsWe derived our sample from child dependents ages birth to 18 years of military personnel with health care enrollment in FY2011. We defined chronic conditions based on diagnoses and repeated specialty care visits. We accrued one year of health care utilization for each child starting with the date of first diagnosis that qualified (i.e., 2 + visits). Health care utilization measures were any inpatient stay; number of outpatient visits (excluding emergency department [ED] visits), ED visits, and number of psychotropic and non-psychotropic prescriptions.

resultsConditions with the highest prevalence were ADHD/conduct disorders (41.2%), other behavioral health (BH) disorders (30.4%), asthma (25.3%) and arthritis (23.8%). Boys and children ages 6-18 were more likely to have BH conditions. Twelve percent had inpatient stays, 63% used the ED, and mean ED visits was 4.6. The mean outpatient visits was 27.9. Utilization was consistently higher for children with both BH and physical health (PH) conditions, children under age 5 (except for number of psychotropic prescriptions), and those enrolled in the military's Extended Health Care Options (ECHO) program.

conclusionsPrevalence and utilization findings provide data for future service planning and highlight subgroups of children with chronic conditions who may need better access to supportive military programs.

Indexed as

AdolescentChildChild, PreschoolChronic DiseaseEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleMilitary FamilyPatient Acceptance of Health CarePersons with DisabilitiesUnited StatesChildren with chronic conditionsDevelopmental/behavioral issuesHealth care utilizationMilitary families

Identifiers

PMID29980483
PMCPMC6345153
OpenAlexW2811201120

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.