The Experts below are selected from a list of 469098 Experts worldwide ranked by ideXlab platform
Emmanuel Ngui - One of the best experts on this subject based on the ideXlab platform.
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satisfaction with Care and ease of using Health Care Services among parents of children with special Health Care needs the roles of race ethnicity insurance language and adequacy of family centered Care
Pediatrics, 2006Co-Authors: Emmanuel Ngui, Glenn FloresAbstract:OBJECTIVES. To examine whether racial/ethnic disparities exist in parental reports of satisfaction with Care and ease of using Health Care Services among children with special Health Care needs (CSHCN) and to identify factors associated independently with satisfaction with Care and ease of use of Health Care Services among CSHCN. METHODS. We analyzed data for 38 886 CSHCN <18 years of age in the National Survey of CSHCN, conducted from 2000 to 2002. Outcome variables included perceived satisfaction with Care and ease of service use. Covariates included sociodemographic factors, insurance, interview language, condition severity and stability, adequacy of family-centered Care measures, and having a personal doctor/nurse. RESULTS. The prevalences of reported dissatisfaction with Care and problems with ease of using Services among parents of CSHCN were 8% and 25%, respectively. Black and Hispanic parents were significantly more likely than white parents to be dissatisfied with Care (13% and 16% vs 7%) and to report problems with ease of service use (35% and 34% vs 23%). Hispanic/white disparities in satisfaction with Care and ease of use of Services disappeared only after multivariate adjustment for parental interview language. Black/white disparities in satisfaction with Care disappeared after adjustments for adequacy of family-centered Care measures, but black/white disparities in ease of using Services persisted. The severity of the child's condition, lack of insurance, parental interview in Spanish, and inadequate family-centered Care were associated significantly with dissatisfaction with Care and problems with ease of using Health Care Services. CONCLUSIONS. Policies and strategies that reduce language barriers, promote insurance coverage and family-centered Care, and improve ease of use of Services among minority CSHCN have the potential to reduce racial/ethnic disparities in satisfaction with Care and to promote ease of use of Services among families with CSHCN.
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satisfaction with Care and ease of using Health Care Services among parents of children with special Health Care needs the roles of race ethnicity insurance language and adequacy of family centered Care
Pediatrics, 2006Co-Authors: Emmanuel Ngui, Gle FloresAbstract:OBJECTIVES. To examine whether racial/ethnic disparities exist in parental reports of satisfaction with Care and ease of using Health Care Services among children with special Health Care needs (CSHCN) and to identify factors associated independently with satisfaction with Care and ease of use of Health Care Services among CSHCN. METHODS. We analyzed data for 38 886 CSHCN <18 years of age in the National Survey of CSHCN, conducted from 2000 to 2002. Outcome variables included perceived satisfaction with Care and ease of service use. Covariates included sociodemographic factors, insurance, interview language, condition severity and stability, adequacy of family-centered Care measures, and having a personal doctor/nurse. RESULTS. The prevalences of reported dissatisfaction with Care and problems with ease of using Services among parents of CSHCN were 8% and 25%, respectively. Black and Hispanic parents were significantly more likely than white parents to be dissatisfied with Care (13% and 16% vs 7%) and to report problems with ease of service use (35% and 34% vs 23%). Hispanic/white disparities in satisfaction with Care and ease of use of Services disappeared only after multivariate adjustment for parental interview language. Black/white disparities in satisfaction with Care disappeared after adjustments for adequacy of family-centered Care measures, but black/white disparities in ease of using Services persisted. The severity of the child's condition, lack of insurance, parental interview in Spanish, and inadequate family-centered Care were associated significantly with dissatisfaction with Care and problems with ease of using Health Care Services. CONCLUSIONS. Policies and strategies that reduce language barriers, promote insurance coverage and family-centered Care, and improve ease of use of Services among minority CSHCN have the potential to reduce racial/ethnic disparities in satisfaction with Care and to promote ease of use of Services among families with CSHCN.
Shalini A Tendulkar - One of the best experts on this subject based on the ideXlab platform.
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mental Health Care Services for children with special Health Care needs and their family members prevalence and correlates of unmet needs
Pediatrics, 2006Co-Authors: Michael L Ganz, Shalini A TendulkarAbstract:OBJECTIVES. To estimate the prevalence and correlates of unmet needs for mental Health Care Services for children with special Health Care needs and their families. METHODS. We use the National Survey of Children With Special Health Care Needs to estimate the prevalence of unmet mental Health Care needs among children with special Health Care needs (1–17 years old) and their families. Using logistic-regression models, we also assess the independent impact of child and family factors on unmet needs. RESULTS. Substantial numbers of children with special Health Care needs and members of their families have unmet needs for mental Health Care Services. Children with special Health Care needs who were poor, uninsured, and were without a usual source of Care were statistically significantly more likely to report that their mental Health Care needs were unmet. More severely affected children and those with emotional, developmental, or behavioral conditions were also statistically significantly more likely to report that their mental Health Care needs went unmet. Families of severely affected children or of children with emotional, developmental, or behavioral conditions were also statistically significantly more likely to report that their mental Health Care needs went unmet. CONCLUSIONS. Our results indicate that children with special Health Care needs and their families are at risk for not receiving needed mental Health Care Services. Furthermore, we find that children in families of lower socioeconomic status are disproportionately reporting higher rates of unmet needs. These data suggest that broader policies to identify and connect families with needed Services are warranted but that child- and family-centered approaches alone will not meet the needs of these children and their families. Other interventions such as anti-poverty and insurance expansion efforts may be needed as well.
Stefan Nickel - One of the best experts on this subject based on the ideXlab platform.
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mid term and short term planning support for home Health Care Services
European Journal of Operational Research, 2012Co-Authors: Stefan Nickel, Michael Schroder, Jorg SteegAbstract:In this paper we are looking at routing and scheduling problems arising in the context of home Health Care Services. Many small companies are working in this sector in Germany and planning is still done manually, resulting in long planning times and relatively inflexible solutions.
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mid term and short term planning support for home Health Care Services
European Journal of Operational Research, 2012Co-Authors: Stefan Nickel, Michael Schroder, Jorg SteegAbstract:Abstract In this paper we are looking at routing and scheduling problems arising in the context of home Health Care Services. Many small companies are working in this sector in Germany and planning is still done manually, resulting in long planning times and relatively inflexible solutions. First, we consider the home Health Care problem (HHCP) which seeks for a weekly optimal plan. However, in practice a master schedule is generated which is modified to incorporate operational changes. We take this approach into account by looking at the master schedule problem (MSP) and at the operational planning problem (OPP). The problems are solved using different metaheuristics combined with methods from constraint programming. This allows a very flexible treatment of realistic constraints. Computational results are presented using real world data.
Glenn Flores - One of the best experts on this subject based on the ideXlab platform.
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satisfaction with Care and ease of using Health Care Services among parents of children with special Health Care needs the roles of race ethnicity insurance language and adequacy of family centered Care
Pediatrics, 2006Co-Authors: Emmanuel Ngui, Glenn FloresAbstract:OBJECTIVES. To examine whether racial/ethnic disparities exist in parental reports of satisfaction with Care and ease of using Health Care Services among children with special Health Care needs (CSHCN) and to identify factors associated independently with satisfaction with Care and ease of use of Health Care Services among CSHCN. METHODS. We analyzed data for 38 886 CSHCN <18 years of age in the National Survey of CSHCN, conducted from 2000 to 2002. Outcome variables included perceived satisfaction with Care and ease of service use. Covariates included sociodemographic factors, insurance, interview language, condition severity and stability, adequacy of family-centered Care measures, and having a personal doctor/nurse. RESULTS. The prevalences of reported dissatisfaction with Care and problems with ease of using Services among parents of CSHCN were 8% and 25%, respectively. Black and Hispanic parents were significantly more likely than white parents to be dissatisfied with Care (13% and 16% vs 7%) and to report problems with ease of service use (35% and 34% vs 23%). Hispanic/white disparities in satisfaction with Care and ease of use of Services disappeared only after multivariate adjustment for parental interview language. Black/white disparities in satisfaction with Care disappeared after adjustments for adequacy of family-centered Care measures, but black/white disparities in ease of using Services persisted. The severity of the child's condition, lack of insurance, parental interview in Spanish, and inadequate family-centered Care were associated significantly with dissatisfaction with Care and problems with ease of using Health Care Services. CONCLUSIONS. Policies and strategies that reduce language barriers, promote insurance coverage and family-centered Care, and improve ease of use of Services among minority CSHCN have the potential to reduce racial/ethnic disparities in satisfaction with Care and to promote ease of use of Services among families with CSHCN.
Gle Flores - One of the best experts on this subject based on the ideXlab platform.
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satisfaction with Care and ease of using Health Care Services among parents of children with special Health Care needs the roles of race ethnicity insurance language and adequacy of family centered Care
Pediatrics, 2006Co-Authors: Emmanuel Ngui, Gle FloresAbstract:OBJECTIVES. To examine whether racial/ethnic disparities exist in parental reports of satisfaction with Care and ease of using Health Care Services among children with special Health Care needs (CSHCN) and to identify factors associated independently with satisfaction with Care and ease of use of Health Care Services among CSHCN. METHODS. We analyzed data for 38 886 CSHCN <18 years of age in the National Survey of CSHCN, conducted from 2000 to 2002. Outcome variables included perceived satisfaction with Care and ease of service use. Covariates included sociodemographic factors, insurance, interview language, condition severity and stability, adequacy of family-centered Care measures, and having a personal doctor/nurse. RESULTS. The prevalences of reported dissatisfaction with Care and problems with ease of using Services among parents of CSHCN were 8% and 25%, respectively. Black and Hispanic parents were significantly more likely than white parents to be dissatisfied with Care (13% and 16% vs 7%) and to report problems with ease of service use (35% and 34% vs 23%). Hispanic/white disparities in satisfaction with Care and ease of use of Services disappeared only after multivariate adjustment for parental interview language. Black/white disparities in satisfaction with Care disappeared after adjustments for adequacy of family-centered Care measures, but black/white disparities in ease of using Services persisted. The severity of the child's condition, lack of insurance, parental interview in Spanish, and inadequate family-centered Care were associated significantly with dissatisfaction with Care and problems with ease of using Health Care Services. CONCLUSIONS. Policies and strategies that reduce language barriers, promote insurance coverage and family-centered Care, and improve ease of use of Services among minority CSHCN have the potential to reduce racial/ethnic disparities in satisfaction with Care and to promote ease of use of Services among families with CSHCN.
