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Identifying children with special health care needs: development and evaluation of a short screening instrument.
TLDR
Results of this study indicate that the CSHCN Screener requires minimal time to administer, is acceptable for use as both an interview-based and self-administered survey, and that rates of children positively identified vary according to child demographic, health, and health care-need characteristics.
Adverse childhood experiences: assessing the impact on health and school engagement and the mitigating role of resilience.
TLDR
It is suggested that building resilience-defined in the survey as "staying calm and in control when faced with a challenge," for children ages 6-17-can ameliorate the negative impact of adverse childhood experiences.
Differentiating Subgroups of Children with Special Health Care Needs by Health Status and Complexity of Health Care Needs
TLDR
The proposed subgroups differentiate CSHCN by health status and complexity of health care needs, and also show differences in the impact of their conditions on their families, costs of their medical care, and prevalence of various health problems.
What is the Prevalence of Children with Special Health Care Needs? Toward an Understanding of Variations in Findings and Methods Across Three National Surveys
TLDR
Characteristics and health needs of CSHCN were stable across surveys evaluated, each of which has unique strengths for purposes of policy and research, suggesting that prevalence is best expressed as a range, rather than as a point estimate.
Methods to Assess Adverse Childhood Experiences of Children and Families: Toward Approaches to Promote Child Well-being in Policy and Practice.
TLDR
Although important variations exist, available ACEs measurement methods are similar and show consistent associations with poorer health outcomes in absence of protective factors and resilience and suggest use of population-wide versus high-risk approaches to assessing ACEs.
Pediatrician Identification of Latino Children at Risk for Autism Spectrum Disorder
TLDR
Assessment of primary care pediatrician practices in California found that promoting language-appropriate screening, disseminating culturally appropriate ASD materials to Latino families, improving the specialist workforce, and providing PCP support in screening and referral of Latino children may be important ways to reduce racial and ethnic differences in care.
A national and state profile of leading health problems and health care quality for US children: key insurance disparities and across-state variations.
TLDR
Evaluating national and state prevalence of health problems and special health care needs in US children highlights the importance of health care insurance duration and adequacy, health care access, chronic condition management, and other quality of care goals reflected in the 2009 CHIPRA legislation and the ACA.
Assessing Health System Provision of Adolescent Preventive Services: The Young Adult Health Care Survey
TLDR
The YAHCS provides a feasible, reliable, and valid method for assessing adherence to adolescent preventive services guidelines and is promising as a potential measure of health plan and provider quality.
Comparison of the children with special health care needs screener to the questionnaire for identifying children with chronic conditions--revised.
TLDR
The brief CSHCN Screener exhibits a high level of agreement with the longer QuICCC-R instrument, which classifies a higher proportion of children as having special health care needs.
Rates of Parent-Centered Developmental Screening: Disparities and Links to Services Access
TLDR
There is a significant gap between the developmental screening that is recommended and what is reported nationally and there are considerable opportunities for cross-state learning to improve quality on this critical component of preventive pediatric care.
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