Shenkman E, Vogel B, Brooks R, Wegener D H, Naff R
University of Florida, Department of Pediatrics, 5700 Southwest 34th Street, Suite 323, Gainesville, FL 32608, USA.
Health Care Financ Rev. 2001 Winter;23(2):35-51.
Increasingly, Medicaid and Title XXI Programs are using survey-based approaches to identify children with special health care needs (CSHCN) for quality assurance monitoring and program referrals. However, little work has been done examining how well instruments, like the Questionnaire for Identifying Children with Chronic Conditions and the CSHCN Screener, identify CSHCN among black and Hispanic families. Differences in item interpretation and in response styles could influence the identification of CSHCN from these groups. Our results suggest that children who are black or Hispanic with special health care needs may be underidentified relative to white or non-Hispanic children using currently available survey tools.
医疗补助计划和《二十一世纪法案》项目越来越多地采用基于调查的方法来识别有特殊医疗需求的儿童（CSHCN），以进行质量保证监测和项目转诊。然而，在研究诸如慢性病儿童识别问卷和CSHCN筛查工具等手段在黑人和西班牙裔家庭中识别CSHCN的效果方面，所做的工作很少。项目解读和回答方式上的差异可能会影响从这些群体中识别CSHCN。我们的结果表明，使用现有调查工具时，相对于白人或非西班牙裔儿童，有特殊医疗需求的黑人或西班牙裔儿童可能未得到充分识别。
