2026-05-22T00:40:26Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/184942024-11-28T14:58:01Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927

00925njm 22002777a 4500 dc Pérez-Ardanaz, Bibiana author Peláez-Cantero, María José author González-Cano-Caballero, María author Gutiérrez-Rodríguez, Laura author Gómez-González, Alberto José author Lupiáñez-Pérez, Inmaculada author Morales-Asencio, José Miguel author Canca-Sánchez, José Carlos author 2021-10-28 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% (n = 32) of the children had additional private health insurance. One out three parents belonged to a mutual support association (n = 78), and 26% (n = 69) of the children used alternative therapies. Furthermore, 75.4% (n = 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. 10.3390/children8110973 2227-9067 Children http://hdl.handle.net/10668/4259 34828686 http://hdl.handle.net/20.500.12105/18494 Child health services Multiple chronic conditions Alternative therapies Social support Public health Psychosocial support systems Socioeconomic factors Servicios de salud del niño Afecciones crónicas múltiples Terapias complementarias Apoyo social Atención a la salud Sistemas de apoyo psicosocial Factores socioeconómicos Utilization of Parallel Resources and Sociodemographic Factors in Treating Children with Complex Chronic Diseases: A Cross-Sectional Study