Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use?

Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use? Research Abstract Details 

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Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use? Abstract Text:

Laura Sices,Jeffrey S Harman,Kelly J Kelleher,

OBJECTIVES: Children with special health-care needs are an important group for policy and research planning. Special education engages a group of children with increased utilization of services related to education. While increased service utilization in education or health-care settings is often used to classify children as having special needs, considerable heterogeneity exists within each group. The extent to which being identified in two functionally defined systems--special education and health care--relates to health-care utilization is unknown. We sought to determine health-care and mental health utilization and expenditures for children dually classified as receiving special education and having special health-care needs (SHCN) compared with those who only have SHCN, only are in special education, or don't fall into either category. METHODS: A nationally representative sample of children aged 5-17 years from the Medical Expenditure Panel Survey was used to compare mean health-care and mental health utilization and expenditures for the four groups. RESULTS: Dually classified children had significantly higher mean utilization of health-care services than the other three groups (p < 0.05). Mean 12-month total health-care expenditures were highest for dually classified children ($3,891/year) (p < 0.05) and higher for children classified only as having SHCN ($1,426/year) than for children with neither classification ($644/year, p < 0.05). CONCLUSIONS: Children dually classified as receiving special education and having SHCN represent a subgroup of children with SHCN with high levels of health-care utilization and expenditures. This information can assist policy makers in identifying characteristics that place children at risk for very high expenditures, and in allocating health-care resources.

Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use? Publishing Authors By Initials

L Sices,JS Harman,KJ Kelleher,

For similar behavioral disciplines and activities: mental health services research abstracts see: behavioral disciplines and activities: mental health services research

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Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use? Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Public health reports (Washington, D.C. : 1974)

VOLUME: 122

Page Numbers: 531-40

Journal Abbreviation:

ISSN: 0033-3549

DAY: 3

MONTH: 12

YEAR: 2007

Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use? Information

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LANGUAGE: eng

NlmUniqueID: 9716844

Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use? Keywords Mesh Terms:

KEYWORDS: Mental Health Services

MESH TERMS: utilization

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Grant and Affiliation Information for Health-care use and expenditures for children in special education with special health-care needs: is dual classification a marker for high use?

AFFILIATION: Department of Pediatrics, Case Western Reserve University, Cleveland, OH, USA. Laura.Sices@UHhospitals.org

Country: United States

AGENCY: United States NICHD

GRANT: K23 HD047713

ACRONYM: HD

MEDLINETA: Public Health Rep

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