title: The impacts of distance to hospital on families with a child with a chronic condition.
abstract: Children with chronic conditions and their families face many similar challenges that can be stressful for the family including, daily caregiving activities, financial difficulties caused by unexpected expenses, and increased use of health services to treat and help manage the condition. Many of these families, in addition to facing daily caregiving responsibilities, must travel substantial distances to access some of the necessary aspects of their child's health care. In this study, the Burke et al. (1994-1996) data of repeatedly hospitalized children and their families are used to explore a geographical dimension of family impact, distance. Outcome measures from the Feetham Family Functioning Survey and the Questionnaire on Resources and Stress are analyzed using exploratory and multivariate analysis. Results show that distance to hospital plays a role in the two areas of family life regarding relationships within the immediate family, and issues surrounding the ability to maintain the child in the family home. The implications of the results for family, health care intervention, and government policies and guidelines are discussed.
authors.affiliation: Department of Geography, Queen's University, Kingston, Ontario, Canada. 6nmy@qlink.queensu.ca
authors.forename: N
authors.initials: N
authors.lastname: Yantzi
authors.forename: M W
authors.initials: MW
authors.lastname: Rosenberg
authors.forename: S O
authors.initials: SO
authors.lastname: Burke
authors.forename: M B
authors.initials: MB
authors.lastname: Harrison
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D002391:Catchment Area, Health; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000523:psychology*; D017281:Cost of Illness; D019988:Children with Disabilities; D005190:Family / Q000523:psychology*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data; D006761:Hospitals / Q000706:statistics & numerical data / Q000600:supply & distribution*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D009864:Ontario / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013997:Time Factors; D014187:Transportation of Patients