Date of Award
Fall 10-2024
Embargo Period
12-7-2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy (PhD) in Nursing Science
Department
Nursing
College
College of Nursing
First Advisor
Shannon Phillips
Second Advisor
Martina Mueller
Third Advisor
Susan Newman
Fourth Advisor
Alon Peltz
Abstract
Children with complex chronic conditions (CCC) face healthcare inequities when accessing pediatric specialty care. Social or economic barriers may exacerbate the challenges faced by families with a child/children with CCC and include increased geographical distance to specialty services, familial poverty, inadequate neighborhood resources, and food insecurity. Understanding how social and economic factors may impact equitable access to care are essential in improving health outcomes for children with CCC. The first manuscript in this compendium is an integrative review focused on the barriers and facilitators of accessing pediatric specialty care for rural dwelling children with CCC. The second manuscript presents a retrospective chart review conducted to understand the impact of neighborhood-level barriers and facilitators on the time from specialty referral to specialty appointment. The third manuscript in this compendium describes a qualitative descriptive assessment using semi-structured key informant interviews with parents of children with CCC in rural South Carolina.
Recommended Citation
Vestal, Elisabeth, "Predicting Access Barriers and Facilitators to Pediatric Specialty Care among Children with Complex Chronic Conditions" (2024). MUSC Theses and Dissertations. 990.
https://medica-musc.researchcommons.org/theses/990
Rights
Copyright is held by the author. All rights reserved.