Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study

Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The...

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Autores principales:	Bibiana Pérez-Ardanaz, María José Peláez-Cantero, María González-Cano-Caballero, Laura Gutiérrez-Rodríguez, Alberto José Gómez-González, Inmaculada Lupiáñez-Pérez, José Miguel Morales-Asencio, José Carlos Canca-Sánchez
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	child health services multiple chronic conditions alternative therapies social support public health psychosocial support systems Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/f213f6d1d27f4896b0d14773b4573b87
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spelling	oai:doaj.org-article:f213f6d1d27f4896b0d14773b4573b872021-11-25T17:14:04ZUtilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study10.3390/children81109732227-9067https://doaj.org/article/f213f6d1d27f4896b0d14773b4573b872021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/973https://doaj.org/toc/2227-9067Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The use of these alternative health resources is sometimes unclear and may lead to health inequalities. To characterize the use made of alternative healthcare resources for children with complex chronic conditions. Additionally, we evaluate the influence of sociodemographic factors on the distribution of this utilization of resources; (2) Methods: Cross-sectional study. Children with complex chronic diseases were treated at a tertiary hospital in Granada, Spain in 2016. We analyzed their use of healthcare resources and socioeconomic variables. This research complies with STROBE guidelines for observational studies; (3) Results: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63). A total of 105 children (39.6%) attended private consultations with specialists, and 12.1% (<i>n</i> = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (<i>n</i> = 78), and 26% (<i>n</i> = 69) of the children used alternative therapies. Furthermore, 75.4% (<i>n</i> = 199) of the children received no psychological support. Children whose parents had a higher educational level and occupations status made greater use of parallel healthcare resources.; (4) Conclusions: A significant proportion of children used multiple health resources in addition to the public healthcare system depending on sociodemographic determinants. Studies are needed to determine whether the use of these alternative services achieves better levels of health.Bibiana Pérez-ArdanazMaría José Peláez-CanteroMaría González-Cano-CaballeroLaura Gutiérrez-RodríguezAlberto José Gómez-GonzálezInmaculada Lupiáñez-PérezJosé Miguel Morales-AsencioJosé Carlos Canca-SánchezMDPI AGarticlechild health servicesmultiple chronic conditionsalternative therapiessocial supportpublic healthpsychosocial support systemsPediatricsRJ1-570ENChildren, Vol 8, Iss 973, p 973 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	child health services multiple chronic conditions alternative therapies social support public health psychosocial support systems Pediatrics RJ1-570
spellingShingle	child health services multiple chronic conditions alternative therapies social support public health psychosocial support systems Pediatrics RJ1-570 Bibiana Pérez-Ardanaz María José Peláez-Cantero María González-Cano-Caballero Laura Gutiérrez-Rodríguez Alberto José Gómez-González Inmaculada Lupiáñez-Pérez José Miguel Morales-Asencio José Carlos Canca-Sánchez Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
description	Background: Children with complex chronic conditions have a high need for health and social care resources. Many parents explore parallel resources such as alternative therapies, associations, psychological support, private medical consultations, and other out-of-pocket expenses for healthcare. The use of these alternative health resources is sometimes unclear and may lead to health inequalities. To characterize the use made of alternative healthcare resources for children with complex chronic conditions. Additionally, we evaluate the influence of sociodemographic factors on the distribution of this utilization of resources; (2) Methods: Cross-sectional study. Children with complex chronic diseases were treated at a tertiary hospital in Granada, Spain in 2016. We analyzed their use of healthcare resources and socioeconomic variables. This research complies with STROBE guidelines for observational studies; (3) Results: In total, 265 children were analyzed (mean age 7.3 years, SD 4.63). A total of 105 children (39.6%) attended private consultations with specialists, and 12.1% (<i>n</i> = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (<i>n</i> = 78), and 26% (<i>n</i> = 69) of the children used alternative therapies. Furthermore, 75.4% (<i>n</i> = 199) of the children received no psychological support. Children whose parents had a higher educational level and occupations status made greater use of parallel healthcare resources.; (4) Conclusions: A significant proportion of children used multiple health resources in addition to the public healthcare system depending on sociodemographic determinants. Studies are needed to determine whether the use of these alternative services achieves better levels of health.
format	article
author	Bibiana Pérez-Ardanaz María José Peláez-Cantero María González-Cano-Caballero Laura Gutiérrez-Rodríguez Alberto José Gómez-González Inmaculada Lupiáñez-Pérez José Miguel Morales-Asencio José Carlos Canca-Sánchez
author_facet	Bibiana Pérez-Ardanaz María José Peláez-Cantero María González-Cano-Caballero Laura Gutiérrez-Rodríguez Alberto José Gómez-González Inmaculada Lupiáñez-Pérez José Miguel Morales-Asencio José Carlos Canca-Sánchez
author_sort	Bibiana Pérez-Ardanaz
title	Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_short	Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_full	Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_fullStr	Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_full_unstemmed	Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study
title_sort	utilization of parallel resources and sociodemographic factors in treating children with complex chronic diseases: a cross-sectional study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f213f6d1d27f4896b0d14773b4573b87
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Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study

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