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首页> 外文期刊>Clinical Pediatrics >Identifying Social Determinants of Health and Legal Needs for Children With Special Health Care Needs
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Identifying Social Determinants of Health and Legal Needs for Children With Special Health Care Needs

机译：确定有特殊保健需求的儿童的健康和法律需求的社会决定因素

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Children with special health care needs (CSHCN) require comprehensive care with high levels of community and government assistance. Medical-legal partnerships may be particularly suited to address needs for this population. To explore this, we conducted in-depth telephone interviews of families of CSHCN cared for in the primary care practice of our tertiary care children's hospital. The majority of the sample (N = 46) had been late on housing payments and 17% of homeowners had been threatened with foreclosure. Families frequently reported denial of public benefits. Approximately 10% had executed advance planning documents such as guardianship plans for the children or wills for the parents. A minority of families had sought help from community agencies or lawyers. Less than one third had ever discussed any of the issues with health care providers, but two thirds were likely or very likely to in the future. CSHCN may especially benefit from the social support of a medical-legal partnership.
机译：有特殊保健需要的儿童（CSHCN）需要在社区和政府的高水平协助下进行全面护理。医疗法律伙伴关系可能特别适合满足该人群的需求。为了探索这一点，我们对三级儿童医院的初级护理实践中所护理的CSHCN家庭进行了深入的电话采访。大部分样本（N = 46）的住房付款延迟，并且有17％的房主受到抵押品赎回权的威胁。家庭经常报告剥夺公共利益。大约10％的人已经执行了事先计划文件，例如为孩子制定的监护计划或为父母制定的遗嘱。少数家庭向社区机构或律师寻求帮助。不到三分之一的人曾与医疗保健提供者讨论过任何问题，但未来有三分之二的可能性是或非常有可能的。 CSHCN可能特别受益于医疗法律合作的社会支持。

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