Smith Jacqueline Marie
School of Social Work, Howard University, USA.
J Health Soc Policy. 2002;16(1-2):81-92. doi: 10.1300/j045v16n01_08.
Each year the number of children who enter the foster care system grows because the number of children who are vulnerable to abuse, neglect and/or poverty grows. Children with disabilities are a particularly vulnerable subset of this already vulnerable population. What are the implications of conceptual and methodological issues in theories of disability for estimates of children with disabilities in foster care? To what extent do children in the foster care system have disabilities? What are implications of existing health care coverage strategies (Medicaid, managed care, etc.) for the health and well-being of foster care children with disabilities? Conceptual and operational definitions of disability are reviewed. Descriptive statistics based on a secondary analysis of 1998 administrative AFCARS data are used to summarize the extent of disabilities. In addition, existing empirical studies and public policies on national and state health care insurance strategies are analyzed.
每年进入寄养系统的儿童数量都在增加，因为易受虐待、忽视和/或贫困影响的儿童数量在增长。残疾儿童是这一原本就脆弱群体中特别脆弱的一部分。残疾理论中的概念和方法问题对寄养儿童中残疾儿童的估计有何影响？寄养系统中的儿童残疾程度如何？现有的医疗保健覆盖策略（医疗补助、管理式医疗等）对残疾寄养儿童的健康和福祉有何影响？本文回顾了残疾的概念和操作定义。基于对1998年美国寄养管理信息系统（AFCARS）行政数据的二次分析得出的描述性统计数据，被用于总结残疾的程度。此外，还分析了关于国家和州医疗保健保险策略的现有实证研究和公共政策。
