Phillips Charles D, Hawes Catherine
Department of Health Policy and Management, School of Public Health, Health Science Center, Texas A&M University, College Station, TX, USA.
Health Serv Insights. 2015 Sep 10;8:17-24. doi: 10.4137/HSI.S30775. eCollection 2015.
The vast majority of assessment instruments developed to assess children facing special healthcare challenges were constructed to assess children within a limited age range or children who face specific conditions or impairments. In contrast, the interRAI Pediatric Home Care (PEDS HC) Assessment Form was specifically designed to assess the long-term community-based service and support needs of children and youth aged from four to 20 years who face a wide range of chronic physical or behavioral health challenges. Initial research indicates that PEDS HC items exhibit good predictive validity-explaining significant proportions of the variance in parents' perceptions of needs, case managers' service authorizations, and Medicaid program expenditures for long-term community-based services and supports. In addition, PEDS HC items have been used to construct scales that summarize the strengths and needs of children facing special healthcare challenges. Versions of the PEDS HC are now being used in Medicaid programs in three states in the United States.
绝大多数为评估面临特殊医疗挑战的儿童而开发的评估工具，都是为在有限年龄范围内评估儿童或面临特定疾病或损伤的儿童而构建的。相比之下，相互关系儿童居家护理（PEDS HC）评估表专门设计用于评估4至20岁面临各种慢性身体或行为健康挑战的儿童和青少年的长期社区服务及支持需求。初步研究表明，PEDS HC项目具有良好的预测效度——能够解释父母需求认知、个案管理员服务授权以及长期社区服务和支持的医疗补助计划支出中很大比例的差异。此外，PEDS HC项目已被用于构建量表，以总结面临特殊医疗挑战的儿童的优势和需求。目前，美国三个州的医疗补助计划正在使用PEDS HC的不同版本。
