Working families have increasingly enrolled their children in Medicaid or the Children’s Health Insurance Program in recent years. Parents’ place of employment affects the availability and cost of family health insurance, making it a determinant of pediatric public insurance enroll...

BACKGROUND: Asthma is the most common chronic condition among children with high-frequency emergency department (ED) utilization. Previous research has shown in outpatients seen for asthma that acute care visits predict subsequent health care utilization. Among ED patients, however...

OBJECTIVE: To describe variation in mortality and morbidity effects of high-level, high-volume delivery hospital between racial/ethnic groups and insurance groups. STUDY DESIGN: Retrospective cohort including infants born at 24-32 weeks gestation or birth weights ≤2500 g in Califo...

PURPOSE: Adolescents account for one in five new HIV infections in the U.S. Yet, only 25% of sexually active adolescents report HIV testing, and testing rates have not improved over time. In this study, the primary aim was to identify barriers and facilitators to routine HIV testin...

OBJECTIVE: To examine trends in mental health (MH) visits to pediatric emergency departments (EDs) and identify whether ED disposition varies by presence of a hospital inpatient psychiatric unit (IPU). STUDY DESIGN: Cross-sectional study of 8,479,311 ED visits to 35 children's hos...

Emergency department (ED) demand often exceeds capacity, and many, including those who provide care in EDs, believe that some ED patients should be cared for in less costly non-ED settings. One common proposed explanation for nonemergent ED use is the lack of access to care, in par...

BACKGROUND AND OBJECTIVES: Although potentially dangerous, little is known about outpatient opioid exposure (OE) in children and youth with special health care needs (CYSHCN). We assessed the prevalence and types of OE and the diagnoses and health care encounters proximal to OE in ...

Families with young children face a number of challenges that can influence a child’s opportunities for health and success, ranging from financial insecurity to caregiver depression. The support that families receive during early childhood can lay the foundation for a child’s futur...

OBJECTIVE: Our objective was to explore knowledge, attitudes and beliefs about pregnancy and contraceptive decision-making among reproductive-aged women with cystic fibrosis. STUDY DESIGN: In this qualitative study, we used purposive sampling of reproductive age women enrolled in ...

PURPOSE: Children's hospitals must provide developmentally appropriate care to increasing numbers of young adults with complex healthcare needs as they transition to adult-oriented care. This article describes the patients, service, and short-term outcomes of an interprofessional h...