TY - JOUR
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Cross-Sectional Studies
KW - Electronic Health Records
KW - Facilities and Services Utilization/economics/statistics & numerical data
KW - Female
KW - Foster Home Care
KW - Humans
KW - Infant
KW - Male
KW - Medicaid
KW - Mental Disorders/economics/therapy
KW - Primary Health Care/economics/statistics & numerical data
KW - Texas
KW - United States
KW - ADHD
KW - cognitive/learning disorders
KW - developmental disorders
KW - Foster Care
KW - impulse control
KW - Mental health disorder
KW - mood disorders
KW - primary care utilization
AU - R. J. Keefe
AU - B. S. Van Horne
AU - C. M. Cain
AU - K. Budolfson
AU - R. Thompson
AU - C. S. Greeley
A1 - 
AB - The purpose of this study was to compare the utilization of primary care services and presence of mental health disorder diagnoses among children in foster care to children on Medicaid not in foster care in a large health system. The data for this study were analyzed from a clinical database of a multipractice pediatric health system in Houston, Texas. The sample included more than 95 000 children covered by Medicaid who had at least one primary care visit during the 2-year study period. The results of the study demonstrated that children not in foster care had a greater number of primary care visits and the odds of having >3 visits were significantly lower for children in foster care with a mental health disorder diagnosis. Additionally, more than a quarter of children in foster care had a diagnosis of a mental health disorder, compared with 15% of children not in foster care.
AD - Baylor College of Medicine, Houston, TX, USA.; Texas Children's Hospital, Houston, TX, USA.; Baylor College of Medicine, Houston, TX, USA.; Texas Children's Hospital, Houston, TX, USA.; Baylor College of Medicine, Houston, TX, USA.; Texas Children's Hospital, Houston, TX, USA.; Baylor College of Medicine, Houston, TX, USA.; Baylor College of Medicine, Houston, TX, USA.; Texas Children's Hospital, Houston, TX, USA.; Baylor College of Medicine, Houston, TX, USA.; Texas Children's Hospital, Houston, TX, USA.
BT - Clinical pediatrics
C5 - Financing & Sustainability; Healthcare Disparities
CP - 3
CY - United States
DO - 10.1177/0009922819898182
IS - 3
JF - Clinical pediatrics
LA - eng
M1 - Journal Article
N2 - The purpose of this study was to compare the utilization of primary care services and presence of mental health disorder diagnoses among children in foster care to children on Medicaid not in foster care in a large health system. The data for this study were analyzed from a clinical database of a multipractice pediatric health system in Houston, Texas. The sample included more than 95 000 children covered by Medicaid who had at least one primary care visit during the 2-year study period. The results of the study demonstrated that children not in foster care had a greater number of primary care visits and the odds of having >3 visits were significantly lower for children in foster care with a mental health disorder diagnosis. Additionally, more than a quarter of children in foster care had a diagnosis of a mental health disorder, compared with 15% of children not in foster care.
PP - United States
PY - 2020
SN - 1938-2707; 0009-9228
SP - 252
EP - 258
EP - 
T1 - A Comparison Study of Primary Care Utilization and Mental Health Disorder Diagnoses Among Children In and Out of Foster Care on Medicaid
T2 - Clinical pediatrics
TI - A Comparison Study of Primary Care Utilization and Mental Health Disorder Diagnoses Among Children In and Out of Foster Care on Medicaid
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 31896282
U3 - 10.1177/0009922819898182
VL - 59
VO - 1938-2707; 0009-9228
Y1 - 2020
Y2 - Mar
ER -