Evidence map›Paper›PMID 38327250›Full record

ArticleDevelopmental medicine and child neurology2024

Impact of disability-based discrimination in healthcare on parents of children with medical complexity.

Stefanie G Ames, Rebecca K Delaney, Claudia Delgado-Corcoran, Amy J Houtrow, Justin Alvey, Melissa H Watt, Nancy Murphy

Abstract read
In one paragraph

Article in Developmental medicine and child neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Family Caregivers' Experiences of Services for Children With Medical Complexity: A Systematic Review and Qualitative Evidence Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2025
    Pooled it
  2. Review
  3. 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

7 authors.

Stefanie G AmesDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0002-4972-4777
Rebecca K DelaneyDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Claudia Delgado-CorcoranDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.
Amy J HoutrowDepartment of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-2906-8896
Justin AlveyDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.
Melissa H WattDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Nancy MurphyDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0001-9250-8474

Funding

The University of Utah Health Equity Research Core at the Woman and Child Insitute
6 · The paper itself

Abstract

aimTo qualitatively assess the impact of disability-based discrimination in healthcare on the parents of children with medical complexity (CMC).

methodIn this qualitative study, we conducted in-depth, semi-structured interviews with the parents of CMC. Data collection and analysis occurred iteratively; constant comparison methods were used to identify themes describing the impact of disability-based discrimination in pediatric healthcare on the parents of CMC.

resultsThirty participants from 15 US states were interviewed. Four themes were developed regarding the impact of disability-based discrimination in healthcare on parents. The themes were: (1) discrimination leads to a loss of trust in healthcare providers; (2) discrimination increases the burden of caregiving; (3) discrimination impacts parental well-being; and (4) racism and poverty-based discrimination amplifies disability-based discrimination.

interpretationThe experience of discrimination toward their child results in loss of trust and therapeutic relationship between provider and parent, causes increased burden to the family, and contributes to decreased parental well-being. These experiences are magnified in minoritized families and in families perceived to have a lower socioeconomic status based on insurance type.

Indexed as

ParentsQualitative ResearchAdolescentAdultChildChildren with DisabilitiesFemaleHumansMaleMiddle AgedPersons with DisabilitiesPovertyRacismSocial DiscriminationTrustUnited States

Identifiers

PMID38327250
PMCPMC11579817

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.