Socioeconomic Status and Health Services Utilization for Children With Complex Chronic Conditions Liable to Receive Nurse-Led Services: A Cross-Sectional Study Pérez Ardanaz, Bibiana Morales-Asencio, José Miguel García-Piñero, José Miguel Lupiáñez-Pérez, Inmaculada Morales-Gil, Isabel María Kaknani-Uttumchandani, Shakira Supplementary Material: Figure S1. Recruitment of patients. Table S1. Health Care Utilisation and Sociodemographic Characteristics Table S2. Health Care Utilisation by Palliative Care Group and by Health Care Needs Group Aim To analyze the use of health services for children with severe chronic diseases, seeking to identify patterns of use according to sociodemographic and clinical conditions, and to identify unmet needs of care coordination that could benefit from nursing case management services. Design Cross-sectional study. Methods Children treated in ambulatory and hospital care in Granada, Spain, with complex chronic diseases in 2016 were analyzed to determine their use of healthcare resources. Socioeconomic variables were evaluated, along with clinical status and duration of their conditions. Results In total, 265 children were analyzed (mean age 7.3 years, SD 4.63; 56.6% male). The average duration of the disease was 63.26 months (SD 54.09). The most common types of disease were neurological (35.80%), congenital (23.90%), and oncological (18.90%). Multivariate analysis showed that children in need of advanced care (β = 0.71), with a relatively recent diagnosis (β = -0.11), with criteria for palliative care 1 (β = -0.26), and whose mothers were older (β = 0.36) and had a higher educational level (β = 0.19) made greater use of healthcare resources during the preceding 12 months, whether urgent or scheduled (r2 = 78.0%, p < .001). Conclusions Children with higher needs for advanced care have a heterogeneous use of healthcare resources depending on certain clinical and sociodemographic determinants. This finding highlights the importance of the identification of profiles of children and families for care coordination. The presence of sociodemographic determinants may need individualized approaches to assure a timely health care utilization. Clinical Relevance A significant proportion of the children used multiple health services, being treated at several centers simultaneously, and producing up to 139 total yearly contacts with the health system. Policymakers, healthcare providers, and patients’ families should engage in a redesign of healthcare services for these children, providing comprehensive and coordinated systems of care for this population. 2025-01-28T08:02:48Z 2025-01-28T08:02:48Z 2018-03-24 journal article Published version: Pérez Ardanaz, Bibiana et al. Socioeconomic Status and Health Services Utilization for Children With Complex Chronic Conditions Liable to Receive Nurse-Led Services: A Cross-Sectional Study. Journal of Nursing Scholarship. 51, 5. 2019. Pages 518-525. https://doi.org/10.1111/jnu.12499 https://hdl.handle.net/10481/100640 10.1111/jnu.12499 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 Internacional Wiley