{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:26:30Z","timestamp":1790065590996,"version":"4.0.1"},"reference-count":13,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>We sought to develop and validate a method to identify social complexity risk factors (eg, limited English proficiency) using Minnesota state administrative data. A secondary objective was to examine the relationship between social complexity and caregiver-reported need for care coordination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A total of 460 caregivers of children with noncomplex chronic conditions enrolled in a Minnesota public health care program were surveyed and administrative data on these caregivers and children were obtained. We validated the administrative measures by examining their concordance with caregiver-reported indicators of social complexity risk factors using tetrachoric correlations. Logistic regression analyses subsequently assessed the association between social complexity risk factors identified using Minnesota\u2019s state administrative data and caregiver-reported need for care coordination, adjusting for child demographics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Concordance between administrative and caregiver-reported data was moderate to high (correlation range 0.31\u20130.94, all P values &amp;lt;.01), with only current homelessness (r = \u20130.01, P = .95) failing to align significantly between the data sources. The presence of any social complexity risk factor was significantly associated with need for care coordination before (unadjusted odds ratio = 1.65; 95% confidence interval, 1.07\u20132.53) but not after adjusting for child demographic factors (adjusted odds ratio = 1.53; 95% confidence interval, 0.98\u20132.37).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Social complexity risk factors may be accurately obtained from state administrative data. The presence of these risk factors may heighten a family\u2019s need for care coordination and\/or other services for children with chronic illness, even those not considered medically complex.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2015-3787","type":"journal-article","created":{"date-parts":[[2016,8,11]],"date-time":"2016-08-11T05:07:41Z","timestamp":1470892061000},"source":"Crossref","is-referenced-by-count":15,"title":["Development and Validation of a Method to Identify Children With Social Complexity Risk Factors"],"prefix":"10.1542","volume":"138","author":[{"given":"Sheree M.","family":"Schrager","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly C.","family":"Arthur","sequence":"additional","affiliation":[{"name":"Seattle Children's Hospital and Seattle Children\u2019s Research Institute, Seattle, Washington;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine","family":"Nelson","sequence":"additional","affiliation":[{"name":"Minnesota Department of Human Services, St. Paul, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne R.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Park Nicollet Health Services, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Michael","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts;"},{"name":"Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Mangione-Smith","sequence":"additional","affiliation":[{"name":"Seattle Children's Hospital and Seattle Children\u2019s Research Institute, Seattle, Washington;"},{"name":"Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,9,1]]},"reference":[{"issue":"3","key":"2021120905030277300_B1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.acap.2011.02.009","article-title":"The Children\u2019s Health Insurance Program Reauthorization Act quality measures initiatives: moving forward to improve measurement, care, and child and adolescent outcomes.","volume":"11","author":"Dougherty","year":"2011","journal-title":"Acad Pediatr"},{"issue":"6","key":"2021120905030277300_B2","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2013-3875","article-title":"Pediatric medical complexity algorithm: a new method to stratify children by medical complexity.","volume":"133","author":"Simon","year":"2014","journal-title":"Pediatrics"},{"issue":"12","key":"2021120905030277300_B3","doi-asserted-by":"crossref","first-page":"2106","DOI":"10.1377\/hlthaff.2014.0914","article-title":"Adverse childhood experiences: assessing the impact on health and school engagement and the mitigating role of resilience.","volume":"33","author":"Bethell","year":"2014","journal-title":"Health Aff (Millwood)"},{"key":"2021120905030277300_B4","article-title":"Social complexity and suboptimal health care utilization: A marker of need for care coordination?","author":"Arthur"},{"issue":"1","key":"2021120905030277300_B5","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/S0306-4603(00)00075-7","article-title":"Correlates of mental health service utilization and unmet need among a sample of male adolescents.","volume":"26","author":"Cornelius","year":"2001","journal-title":"Addict Behav"},{"issue":"2","key":"2021120905030277300_B6","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1367\/1539-4409(2002)002<0085:ABMACH>2.0.CO;2","article-title":"Associations between maternal and child health status and patterns of medical care use.","volume":"2","author":"Minkovitz","year":"2002","journal-title":"Ambul Pediatr"},{"issue":"5","key":"2021120905030277300_B7","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1542\/peds.2004-2432","article-title":"Association between underinsurance and access to care among children with special health care needs in the United States.","volume":"116","author":"Kogan","year":"2005","journal-title":"Pediatrics"},{"issue":"1","key":"2021120905030277300_B8","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2007-0066","article-title":"Quality medical homes: meeting children\u2019s needs for therapeutic and supportive services.","volume":"121","author":"Benedict","year":"2008","journal-title":"Pediatrics"},{"issue":"3","key":"2021120905030277300_B9","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00005650-199603000-00003","article-title":"A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity.","volume":"34","author":"Ware","year":"1996","journal-title":"Med Care"},{"issue":"10","key":"2021120905030277300_B10","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.1007\/s11606-008-0693-y","article-title":"Identification of limited English proficient patients in clinical care.","volume":"23","author":"Karliner","year":"2008","journal-title":"J Gen Intern Med"},{"key":"2021120905030277300_B11","unstructured":"National Center for Health Statistics\n          . 2009-2010 National Survey of Children with Special Health Care Needs Questionnaire. 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