Medical care transition planning and dental care use for youth with special health care needs during the transition from adolescence to young adulthood: a preliminary explanatory model

Donald L Chi

doi:10.1007/s10995-013-1322-x

Back

Medical care transition planning and dental care use for youth with special health care needs during the transition from adolescence to young adulthood: a preliminary explanatory model

Journal article

Open access

Peer reviewed

Medical care transition planning and dental care use for youth with special health care needs during the transition from adolescence to young adulthood: a preliminary explanatory model

Donald L Chi

Maternal and child health journal, Vol.18(4), pp.778-788

05/2014

DOI: 10.1007/s10995-013-1322-x

PMCID: PMC3830657

PMID: 23812799

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/3830657View

Open Access

Abstract

The aims of the study were to test the hypotheses that youth with special health care needs (YSHCN) with a medical care transition plan are more likely to use dental care during the transition from adolescence to young adulthood and that different factors are associated with dental utilization for YSHCN with and YSHCN without functional limitations. National Survey of CSHCN (2001) and Survey of Adult Transition and Health (2007) data were analyzed (N = 1,746). The main predictor variable was having a medical care transition plan, defined as having discussed with a doctor how health care needs might change with age and having developed a transition plan. The outcome variable was dental care use in 2001 (adolescence) and 2007 (young adulthood). Multiple variable Poisson regression models with robust standard errors were used to estimate covariate-adjusted relative risks (RR). About 63 % of YSHCN had a medical care transition plan and 73.5 % utilized dental care. YSHCN with a medical care transition plan had a 9 % greater RR of utilizing dental care than YSHCN without a medical care transition plan (RR 1.09; 95 % CI 1.03-1.16). In the models stratified by functional limitation status, having a medical care transition plan was significantly associated with dental care use, but only for YSHCN without functional limitations (RR 1.11; 95 % CI 1.04-1.18). Having a medical care transition plan is significantly associated with dental care use, but only for YSHCN with no functional limitation. Dental care should be an integral part of the comprehensive health care transition planning process for all YSHCN.

Adolescent

Child

Child, Exceptional

Cohort Studies

Confidence Intervals

Delivery of Health Care - organization & administration

Dental Care - methods

Female

Health Care Surveys

Health Planning - organization & administration

Health Services Accessibility

Humans

Male

Models, Theoretical

Multivariate Analysis

Poisson Distribution

Quality of Health Care

Retrospective Studies

Risk Assessment

Transition to Adult Care - organization & administration

Treatment Outcome

United States

Young Adult

Details

Title: Subtitle: Medical care transition planning and dental care use for youth with special health care needs during the transition from adolescence to young adulthood: a preliminary explanatory model
Creators: Donald L Chi - University of Washington
Resource Type: Journal article
Publication Details: Maternal and child health journal, Vol.18(4), pp.778-788
DOI: 10.1007/s10995-013-1322-x
PMID: 23812799
PMCID: PMC3830657
NLM abbreviation: Matern Child Health J
ISSN: 1092-7875
eISSN: 1573-6628
Grant note: K08 DE020856 / NIDCR NIH HHS L60 MD003921 / NIMHD NIH HHS K08DE020856 / NIDCR NIH HHS
Language: English
Date published: 05/2014
Academic Unit: Public Policy Center (Archive)
Record Identifier: 9984283701602771

Metrics

14 Record Views

11 Times Cited - Web of Science