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Maternal education was not found to have a significant impact on children's receipt of need specialty care in the lower two income strata.
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Gender and race were not found to be significantly associated with receipt of needed specialty care.
Family structure did have an impact on children's receipt of needed specialty care.
A child having no insurance is negatively associated with receipt of needed specialty care.
This highlights the importance of healthcare system access above and beyond insurance coverage in ensuring receipt of needed preventive care.
Conversely, the number of children in the household is negatively associated with children's receipt of needed specialty care.
Compared to privately insurance having Medicaid or SCHIP insurance coverage was not found to significantly impact the likelihood of children's receipt of needed specialty care.
Having more than one adult in the household had a positive impact on receipt of needed specialty care but a larger number of children in the family had a negative impact.
Rural communities, therefore, are often in the unique position of contending with the simultaneous pressures of an aging population, rising rates of chronic illness, and endemic family physician shortages – all of which combine to put chronically ill, rural patients at risk for inadequate receipt of needed care.
For the middle income group of children (200 299% of FPL severity of condition had a strong negative association with receipt of needed specialty care. Children in highest income group (> 300% FPL) were positively impacted by living in the Midwest and were negatively impacted by the mother having only some college compared to a four-year degree.
Receipt of and need for care were assessed by the Perceived Need for Care Questionnaire (PNCQ).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com