To estimate (1) family‐centered care () and shared decision‐making () prevalence, and (2) associations of and (/) with health care outcomes among U.S. children.
The Medical Expenditure Panel Survey Household Component (‐), a nationally representative survey of the noninstitutionalized, civilian population.
Secondary analyses of prospectively collected data on 15,764 U.S. children were conducted to examine / prevalence in year 1 and associations of / in year 1 with health services utilization, medical expenditures, and unmet health care needs in year 2.
Data Collection/Extraction Methods
We combined four ‐ longitudinal files from 2007 to 2011.
/ prevalence in year 1 varied from 38.6 to 93.7 percent, and it was lower for composites with more stringent scoring approaches. / composites with stringent scoring approaches in year 1 were associated with reduced unmet needs in year 2. /, across all year 1 composites, was not associated with health services utilization or medical expenditures in year 2. / year 1 subcomponents describing consensus building and mutual agreement were consistently associated with unmet health care needs in year 2.
/ composites with stringent scoring approaches measuring consensus building and mutual agreement may have the greatest utility for pediatric health care quality improvement efforts.
