{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:52:48Z","timestamp":1793332368931,"version":"4.5.0"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Pediatric Orthopaedic Society of North America"],"published-print":{"date-parts":[[2024,5]]},"DOI":"10.1016\/j.jposna.2024.100040","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T19:16:20Z","timestamp":1712171780000},"page":"100040","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Therapy deserts: A call to action to address inequitable access to therapy services among pediatric orthopaedic patients"],"prefix":"10.1016","volume":"7","author":[{"given":"Maike","family":"van Niekerk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Harbacheck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiamaka","family":"Obilo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Weisman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Maga\u00f1a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Balakrishnan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Cook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Shea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jposna.2024.100040_bib1","first-page":"A105","article-title":"A systematic review of food deserts, 1966-2007","volume":"6","author":"Beaulac","year":"2009","journal-title":"Prev Chronic Dis"},{"key":"10.1016\/j.jposna.2024.100040_bib2","unstructured":"U.S. Department of Agriculture (USDA). Food access research atlas: Documentation. Published January 9, 2022. Accessed January 6, 2023. https:\/\/www.ers.usda.gov\/data-products\/food-access-research-atlas\/documentation\/."},{"issue":"5","key":"10.1016\/j.jposna.2024.100040_bib3","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.healthplace.2010.04.013","article-title":"Disparities and access to healthy food in the United States: a review of food deserts literature","volume":"16","author":"Walker","year":"2010","journal-title":"Health Place"},{"issue":"3","key":"10.1016\/j.jposna.2024.100040_bib4","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/01.bpo.0000217715.87857.24","article-title":"Access to orthopaedic care for children with medicaid versus private insurance: results of a national survey","volume":"26","author":"Skaggs","year":"2006","journal-title":"J Pedia Orthop"},{"issue":"6","key":"10.1016\/j.jposna.2024.100040_bib5","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1542\/peds.107.6.1405","article-title":"Access to orthopedic care for children with medicaid versus private insurance in California","volume":"107","author":"Skaggs","year":"2001","journal-title":"Pediatrics"},{"issue":"3","key":"10.1016\/j.jposna.2024.100040_bib6","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1097\/BPO.0b013e31824abf20","article-title":"Access to care for the adolescent anterior cruciate ligament patient with Medicaid versus private insurance","volume":"32","author":"Pierce","year":"2012","journal-title":"J Pedia Orthop"},{"key":"10.1016\/j.jposna.2024.100040_bib7","article-title":"Access to physical therapy for pediatric and adolescent patients following orthopedic surgery","volume":"6","author":"Sarkisova","year":"2019","journal-title":"Glob Pedia Health"},{"key":"10.1016\/j.jposna.2024.100040_bib8","series-title":"Occupational Therapy in Orthopaedics and Trauma","article-title":"Occupational therapy for children and young people with orthopaedic conditions","author":"Evans","year":"2009"},{"key":"10.1016\/j.jposna.2024.100040_bib9","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/978-1-4419-0284-9_20","article-title":"The role of physical therapy and occupational therapy in the rehabilitation of pediatric and adolescent patients with osteosarcoma","volume":"152","author":"Punzalan","year":"2009","journal-title":"Cancer Treat Res"},{"issue":"0","key":"10.1016\/j.jposna.2024.100040_bib10","first-page":"1","article-title":"Best practice recommendations for speech-language pathology in children with neuromuscular disorders: a Delphi-based consensus study","volume":"0","author":"Kooi-van Es","year":"2023","journal-title":"Int J Speech-Lang Pathol"},{"key":"10.1016\/j.jposna.2024.100040_bib11","doi-asserted-by":"crossref","first-page":"S44","DOI":"10.1097\/BPO.0000000000000259","article-title":"Update on neuromuscular disorders in pediatric orthopaedics: duchenne muscular dystrophy, myelomeningocele, and cerebral palsy","volume":"34","author":"Chambers","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jposna.2024.100040_bib12","unstructured":"Services D of HC. Steps to Medi-Cal. Accessed August 13, 2023. \u3008https:\/\/www.dhcs.ca.gov\/individuals\/Pages\/Steps-to-Medi-Cal.aspx\u3009."},{"key":"10.1016\/j.jposna.2024.100040_bib13","unstructured":"Office for Human Research Protections U.S. Department of Health and Human Services. Regulations: 45 CFR 46. Accessed August 14, 2023. https:\/\/www.hhs.gov\/ohrp\/regulations-and-policy\/regulations\/45-cfr-46\/index.html."},{"key":"10.1016\/j.jposna.2024.100040_bib14","unstructured":"University of Wisconsin School of Medicine and Public Health. 2021 Area Deprivation Index. Published March 24, 2024. Downloaded from https:\/\/www.neighborhoodatlas.medicine.wisc.edu\/."},{"key":"10.1016\/j.jposna.2024.100040_bib15","doi-asserted-by":"crossref","first-page":"2456","DOI":"10.1056\/NEJMp1802313","article-title":"Making neighborhood disadvantage metrics accessible: the neighborhood atlas","volume":"378","author":"Kind","year":"2018","journal-title":"N Engl J Med"},{"issue":"3","key":"10.1016\/j.jposna.2024.100040_bib16","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.jseint.2020.11.006","article-title":"National disparities in access to physical therapy after rotator cuff repair between patients with Medicaid vs. private health insurance","volume":"5","author":"Curry","year":"2021","journal-title":"JSES Int"},{"issue":"4","key":"10.1016\/j.jposna.2024.100040_bib17","doi-asserted-by":"crossref","DOI":"10.1177\/2325967118763353","article-title":"Medicaid health insurance status limits patient accessibility to rehabilitation services following acl reconstruction surgery","volume":"6","author":"Rogers","year":"2018","journal-title":"Orthop J Sports Med"},{"issue":"2","key":"10.1016\/j.jposna.2024.100040_bib18","doi-asserted-by":"crossref","first-page":"7989","DOI":"10.4081\/or.2019.7989","article-title":"Insurance status affects access to physical therapy following rotator cuff repair surgery: a comparison of privately insured and Medicaid patients","volume":"11","author":"Rogers","year":"2019","journal-title":"Orthop Rev"},{"issue":"4","key":"10.1016\/j.jposna.2024.100040_bib19","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1044\/2022_AJSLP-21-00287","article-title":"Access to speech and language services and service providers for children with speech and language disorders","volume":"31","author":"Davidson","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"issue":"6","key":"10.1016\/j.jposna.2024.100040_bib20","doi-asserted-by":"crossref","first-page":"2847","DOI":"10.1044\/2022_AJSLP-22-00025","article-title":"Framing disparities in access to medical speech-language pathology care in Rural Alabama","volume":"31","author":"Morton","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"issue":"5","key":"10.1016\/j.jposna.2024.100040_bib21","doi-asserted-by":"crossref","first-page":"2159","DOI":"10.1044\/2022_AJSLP-22-00079","article-title":"Black children with developmental disabilities receive less augmentative and alternative communication intervention than their white peers: preliminary evidence of racial disparities from a secondary data analysis","volume":"31","author":"Pope","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"issue":"1","key":"10.1016\/j.jposna.2024.100040_bib22","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3390\/children9010027","article-title":"Cross-cohort evidence of disparities in service receipt for speech or language impairments","volume":"84","author":"Morgan","year":"2017","journal-title":"Child"},{"issue":"10","key":"10.1016\/j.jposna.2024.100040_bib23","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.34453","article-title":"Cross-sectional comparison of disparities by race using white vs hispanic as reference among children and youths with developmental disabilities referred for speech therapy","volume":"5","author":"Elliott","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"11","key":"10.1016\/j.jposna.2024.100040_bib24","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.21.00512","article-title":"The unmet need for orthopaedic services among american indian and alaska native communities in the United States","volume":"104","author":"Ottesen","year":"2022","journal-title":"JBJS"},{"key":"10.1016\/j.jposna.2024.100040_bib25","unstructured":"MACPAC. Delivery System Reform Incentive Payment (DSRIP) Programs. MACPAC. Accessed March 24, 2024. https:\/\/www.macpac.gov\/publication\/delivery-system-reform-incentive-payment-dsrip-programs-2\/."},{"issue":"19","key":"10.1016\/j.jposna.2024.100040_bib26","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.21.01349","article-title":"Providing orthopaedic care to vulnerably underserved patients: AOA critical issues","volume":"104","author":"Handcox","year":"2022","journal-title":"JBJS"},{"key":"10.1016\/j.jposna.2024.100040_bib27","unstructured":"Country of Santa Cruz Health Services Agency. California Children Services (CCS). Accessed August 14, 2023. https:\/\/www.santacruzhealth.org\/HSAHome\/HSADivisions\/PublicHealth\/ChildrensMedicalServices\/CaliforniaChildrenServices(CCS).aspx#5."},{"key":"10.1016\/j.jposna.2024.100040_bib28","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzab075","article-title":"Effectiveness of telerehabilitation in physical therapist practice: an umbrella and mapping review with meta\u2013meta-analysis","volume":"101","author":"Suso-Mart\u00ed","year":"2021","journal-title":"Phys Ther"},{"issue":"1","key":"10.1016\/j.jposna.2024.100040_bib29","doi-asserted-by":"crossref","first-page":"55","DOI":"10.5195\/ijt.2017.6219","article-title":"The Efficacy of telehealth-delivered speech and language intervention for primary school-age children: a systematic review","volume":"9","author":"Wales","year":"2017","journal-title":"Int J Telerehabil"},{"issue":"2","key":"10.1016\/j.jposna.2024.100040_bib30","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/01942638.2022.2106468","article-title":"Telerehabilitation for children and youth with developmental disabilities and their families: a systematic review","volume":"43","author":"Ogourtsova","year":"2023","journal-title":"Phys Occup Ther Pediatr"},{"key":"10.1016\/j.jposna.2024.100040_bib31","article-title":"Public transportation in the US: a driver of health and equity","author":"Heaps","year":"2021","journal-title":"Health Aff"},{"issue":"3","key":"10.1016\/j.jposna.2024.100040_bib32","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.22.00353","article-title":"A framework and blueprint for building capacity in global orthopaedic surgical outreach","volume":"105","author":"Shapiro","year":"2023","journal-title":"JBJS"},{"key":"10.1016\/j.jposna.2024.100040_bib33","series-title":"Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention: Global Policy Recommendations","author":"World Health Organization","year":"2010"}],"container-title":["Journal of the Pediatric Orthopaedic Society of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2768276524008666?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2768276524008666?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T23:29:16Z","timestamp":1762644556000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2768276524008666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":33,"alternative-id":["S2768276524008666"],"URL":"https:\/\/doi.org\/10.1016\/j.jposna.2024.100040","relation":{},"ISSN":["2768-2765"],"issn-type":[{"value":"2768-2765","type":"print"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Therapy deserts: A call to action to address inequitable access to therapy services among pediatric orthopaedic patients","name":"articletitle","label":"Article Title"},{"value":"Journal of the Pediatric Orthopaedic Society of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jposna.2024.100040","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors. Published by Elsevier Inc. on behalf of Pediatric Orthopaedic Society of North America.","name":"copyright","label":"Copyright"}],"article-number":"100040"}}