Developing a non-categorical measure of child health using administrative data

作者：Arim Rubab G^*; Kohen Dafna E; Brehaut Jamie C; Guevremont Anne; Garner Rochelle E; Miller Anton R; McGrail Kimberlyn; Brownell Marni; Lach Lucy M; Rosenbaum Peter L

来源：Health Reports, 2015, 26(2): 9-16.

• Child health services
• children with disabilities
• data linkage
• medical record linkage

Background
Few studies have examined the potential of linked administrative data for research on child health. This analysis describes the application of a non-categorical survey-based tool, the Children with Special Health Care Needs (CSHCN) Screener, to administrative data.
Data and methods
Five Screener items were applied to data from Population Data British Columbia. Hospital admissions and demographic and community characteristics of a cohort of children aged 6 to 10 in 2006 were examined to validate the use of these items.
Results
Overall, 17.5% of children were identified as CSHCN. An estimated 14% of children used more medical care and 5.2% had more functional limitations than is usual for children of the same age; 3.3% were prescribed long-term medication; 1.9% needed/received treatment or counselling; and 0.1% needed/received special therapy. Boys were more likely than girls to be identified as CSHCN.
Interpretation
With some limitations, the CSHCN Screener can be applied to Canadian administrative health data.

• 出版日期2015-2