Factors associated with healthcare utilization among children with noncardiac chest pain and innocent heart murmurs

To examine differences in factors related to health care utilization (HCU) among children eventually diagnosed with noncardiac chest pain (NCCP) or an innocent heart murmur (IHM). 67 pediatric patients with NCCP and 62 with IHM and their parent/guardian completed paper-and-pencil measures of psychol...

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Veröffentlicht in:	Journal of pediatric psychology 2012-08, Vol.37 (7), p.817-825
Hauptverfasser:	Loiselle, Kristin A, Lee, Jennifer L, Gilleland, Jordan, Campbell, Robert, Simpson, Patti, Johnson, Gregory, Dooley, Kenneth, Blount, Ronald L
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Anxiety - diagnosis Anxiety - psychology Cardiology Service, Hospital - utilization Chest Pain - diagnosis Chest Pain - psychology Child Depression - diagnosis Depression - psychology Female Heart Murmurs - diagnosis Heart Murmurs - psychology Humans Male Parents - psychology Surveys and Questionnaires
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container_title	Journal of pediatric psychology
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creator	Loiselle, Kristin A Lee, Jennifer L Gilleland, Jordan Campbell, Robert Simpson, Patti Johnson, Gregory Dooley, Kenneth Blount, Ronald L
description	To examine differences in factors related to health care utilization (HCU) among children eventually diagnosed with noncardiac chest pain (NCCP) or an innocent heart murmur (IHM). 67 pediatric patients with NCCP and 62 with IHM and their parent/guardian completed paper-and-pencil measures of psychological functioning and past HCU during an initial visit to the cardiologist's office. Children with NCCP utilized significantly more health care services compared to their IHM counterparts in the year prior to their cardiology visit. Children in the NCCP group had higher internalizing and somatic symptoms, and their parents experienced more anxious symptoms, than those in the IHM group. For the NCCP group only, child and parent psychological symptoms and parent HCU were positively related to child HCU. Results identify possible child and parent psychological factors that may be the focus of interventions to reduce high rates of HCU among children with NCCP.
doi_str_mv	10.1093/jpepsy/jss055
format	Article
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Children with NCCP utilized significantly more health care services compared to their IHM counterparts in the year prior to their cardiology visit. Children in the NCCP group had higher internalizing and somatic symptoms, and their parents experienced more anxious symptoms, than those in the IHM group. For the NCCP group only, child and parent psychological symptoms and parent HCU were positively related to child HCU. 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Children with NCCP utilized significantly more health care services compared to their IHM counterparts in the year prior to their cardiology visit. Children in the NCCP group had higher internalizing and somatic symptoms, and their parents experienced more anxious symptoms, than those in the IHM group. For the NCCP group only, child and parent psychological symptoms and parent HCU were positively related to child HCU. Results identify possible child and parent psychological factors that may be the focus of interventions to reduce high rates of HCU among children with NCCP.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - psychology</subject><subject>Cardiology Service, Hospital - utilization</subject><subject>Chest Pain - diagnosis</subject><subject>Chest Pain - psychology</subject><subject>Child</subject><subject>Depression - diagnosis</subject><subject>Depression - psychology</subject><subject>Female</subject><subject>Heart Murmurs - diagnosis</subject><subject>Heart Murmurs - psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Parents - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEFLxDAQRoMo7rp69Co5eqmbNE3bHGVxVVjwouCtTNPUZmmTmqSI_nqzdBUGhmHefAwPoWtK7igRbL0f1ei_13vvCecnaEmznCcF4--naEnikJS5YAt04f2eEJJlLD9HizTNBCOULZHfggzWeQzeW6khqAZ_6dDhTkEfOglO4SnoXv9A0NZgGKz5wLLTfeOUmVFjTeQaDTIulA94BB1J02BtjJXKhEOaC3iYXCx_ic5a6L26OvYVets-vG6ekt3L4_PmfpdIxtKQ5E2biRJaDnVBiJA1FFnB45wKSDlraS3LvJVl0aY050ABSCElsDYeCiUoW6HbOXd09nOKj1WD9lL1PRhlJ19RwggpcsJERJMZlc5671RbjU4P4L4jVB08V7PnavYc-Ztj9FQPqvmn_8SyX8tmfuM</recordid><startdate>201208</startdate><enddate>201208</enddate><creator>Loiselle, Kristin A</creator><creator>Lee, Jennifer L</creator><creator>Gilleland, Jordan</creator><creator>Campbell, Robert</creator><creator>Simpson, Patti</creator><creator>Johnson, Gregory</creator><creator>Dooley, Kenneth</creator><creator>Blount, Ronald L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201208</creationdate><title>Factors associated with healthcare utilization among children with noncardiac chest pain and innocent heart murmurs</title><author>Loiselle, Kristin A ; Lee, Jennifer L ; Gilleland, Jordan ; Campbell, Robert ; Simpson, Patti ; Johnson, Gregory ; Dooley, Kenneth ; Blount, Ronald L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-6df498af5ab7009cba7475af529a253f1bc86fc87f2165a1aa07cca3f6df9e913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - psychology</topic><topic>Cardiology Service, Hospital - utilization</topic><topic>Chest Pain - diagnosis</topic><topic>Chest Pain - psychology</topic><topic>Child</topic><topic>Depression - diagnosis</topic><topic>Depression - psychology</topic><topic>Female</topic><topic>Heart Murmurs - diagnosis</topic><topic>Heart Murmurs - psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Parents - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loiselle, Kristin A</creatorcontrib><creatorcontrib>Lee, Jennifer L</creatorcontrib><creatorcontrib>Gilleland, Jordan</creatorcontrib><creatorcontrib>Campbell, Robert</creatorcontrib><creatorcontrib>Simpson, Patti</creatorcontrib><creatorcontrib>Johnson, Gregory</creatorcontrib><creatorcontrib>Dooley, Kenneth</creatorcontrib><creatorcontrib>Blount, Ronald L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loiselle, Kristin A</au><au>Lee, Jennifer L</au><au>Gilleland, Jordan</au><au>Campbell, Robert</au><au>Simpson, Patti</au><au>Johnson, Gregory</au><au>Dooley, Kenneth</au><au>Blount, Ronald L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with healthcare utilization among children with noncardiac chest pain and innocent heart murmurs</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2012-08</date><risdate>2012</risdate><volume>37</volume><issue>7</issue><spage>817</spage><epage>825</epage><pages>817-825</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><abstract>To examine differences in factors related to health care utilization (HCU) among children eventually diagnosed with noncardiac chest pain (NCCP) or an innocent heart murmur (IHM). 67 pediatric patients with NCCP and 62 with IHM and their parent/guardian completed paper-and-pencil measures of psychological functioning and past HCU during an initial visit to the cardiologist's office. Children with NCCP utilized significantly more health care services compared to their IHM counterparts in the year prior to their cardiology visit. Children in the NCCP group had higher internalizing and somatic symptoms, and their parents experienced more anxious symptoms, than those in the IHM group. For the NCCP group only, child and parent psychological symptoms and parent HCU were positively related to child HCU. Results identify possible child and parent psychological factors that may be the focus of interventions to reduce high rates of HCU among children with NCCP.</abstract><cop>United States</cop><pmid>22493013</pmid><doi>10.1093/jpepsy/jss055</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source	Oxford University Press Journals All Titles (1996-Current); MEDLINE; Education Source; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects	Adolescent Adult Anxiety - diagnosis Anxiety - psychology Cardiology Service, Hospital - utilization Chest Pain - diagnosis Chest Pain - psychology Child Depression - diagnosis Depression - psychology Female Heart Murmurs - diagnosis Heart Murmurs - psychology Humans Male Parents - psychology Surveys and Questionnaires
title	Factors associated with healthcare utilization among children with noncardiac chest pain and innocent heart murmurs
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