ArticleChild abuse & neglect2022
Patterns of healthcare utilization with placement changes for youth in foster care.
Article in Child abuse & neglect, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
The trial behind it
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Who cites it
5 citing papers in PubMed.
- Estimating the impact of out-of-home placement on health risk behavior in adolescents exposed to maltreatment: An advanced causal inference approach.Child abuse & neglect · 2026Article
- Mandates are not enough: placement provider and systems factors that drive ambulatory healthcare use for children in foster care.Frontiers in pediatrics · 2026Article
- Foster Youth's Resilience and Wellbeing During Placement Changes.Child care in practice : Northern Ireland journal of multi-disciplinary child care practice · 2025Article
- Emergency department utilization among youth in foster care: benefits of a patient-centered medical home.Frontiers in pediatrics · 2025Article
- Careful: An administrative child welfare and electronic health records linked dataset.Data in brief · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundChildren in foster care experience poor health and high healthcare use. Child welfare agencies frequently require healthcare visits when children enter foster care; subsequent placement changes also disrupt healthcare. Studies of healthcare use have not accounted for placement changes.
objectiveTo understand patterns of healthcare use throughout the time a child enters foster care and with placement changes, accounting for mandated visits when children enter foster care or experience a placement change. PARTICIPANTS AND
settingChildren 4 and older in foster care between 2012 and 2017 (N = 2787) with linked child welfare administrative data from one county child welfare agency and one Midwest pediatric healthcare system.
methodsNegative binomial models predicted healthcare days per month that were planned (e.g., scheduled primary/specialty care), unplanned (e.g., emergency care), or missed.
resultsPlanned healthcare days increased as a function of placement changes (Incident Rate Ratio [IRR] =1.69, p < .05) and decreased with placement stability (IRR = 0.92, p < .01). Mandated visits that occurred later in a placement were associated with fewer planned (IRR = 0.81, p < .01) and unplanned (IRR = 0.82, p < .01) healthcare days during that placement.
conclusionsPatterns of planned healthcare over the time children are in one placement and move between placements suggest more can be done to ensure youth remain connected to primary and specialty care throughout placements and placement transitions, s that children are seen as clinically appropriate rather than a function of placement disruption. Findings regarding the timing of mandated visits suggest that delays in mandated care may also reflect lower healthcare use overall.
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