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Survey on Access to Pediatric Rheumatology Care

The American Juvenile Arthritis Organization (AJAO) is a council of the

Arthritis Foundation. The AJAO Task Force on the Future of Pediatric

Rheumatology is conducting this survey to obtain current information

concerning access to pediatric rheumatology care. Your healthcare experience

is important! Please complete and return ONE survey PER FAMILY to:

AJAO Survey, 1330 West Peachtree Street, Atlanta, GA 30309

1. Are you the parent or guardian of a child, or are you a young adult,

diagnosed with arthritis or an arthritis-related disease

before the age of eighteen?

_____ No*

__X__ Yes**

*If NO, further information is not needed. Thank you for your

participation.

**If YES, please continue on to question 2. (Young adults please read

" your child " as " you " , " your " or " yourself. " )

2. What is the date of birth and sex of your child with arthritis or an

arthritis-related disease?

First child diagnosed (1)__3years__________ ______ Second child

diagnosed (2)____________ ______ Third child diagnosed (3)____________

______

03/24 / 97 Sex F Month / Day

/ Year Sex Month / Day / Year Sex

3. At what age was your child diagnosed with arthritis or an

arthritis-related disease?

First child diagnosed (1)__3_____ Second child diagnosed** (2)_______

Third child diagnosed** (3)_______

AGE AGE AGE

**IF YOU HAVE MORE THAN ONE CHILD WITH ARTHRITIS, PLEASE COMPLETE THE

FOLLOWING QUESTIONS USING " 1 " FOR FIRST CHILD DIAGNOSED, " 2 " FOR SECOND CHILD

DIAGNOSED, ETC. Otherwise, use a check mark to indicate answers.

4. How many years has your child been diagnosed? Diagnosis: (Child

1)_____________________________________

__X___ Less than one year _____ Three

_____ One _____ Four (Child

2)_____________________________________

_____ Two _____ Five or more

(Child 3)_____________________________________

5. How many doctors did your child see before you received an accurate

diagnosis?

___X__ One _____ Four

_____ Two _____ Five or more

_____ Three

_____ No accurate diagnosis given (please skip to question 7)

6. What type of health care provider accurately diagnosed your child?

_____ Adult rheumatologist _____ Orthopedic surgeon

_____ Family practice doctor _____ Pediatrician

_____ Nurse practitioner __X___ Pediatric rheumatologist

_____ Other (please specify) ________________________________

7. Which health care provider is primarily responsible for the day-to-day

management of your child's arthritis or arthritis-

related disease? (Check all appropriate responses.)

_____ Adult rheumatologist _____ Orthopedic surgeon

_____ Family practice doctor _____ Pediatrician

_____ Nurse practitioner __X___ Pediatric rheumatologist

_____ Other (please specify) ________________________________

8. Has your child ever seen a pediatric rheumatologist?

__X___ Yes (please skip to question 10) _____ No

9. If NO, why not? (After answering, please skip to question 21)

_____ Was not referred _____ Did not know about a pediatric

rheumatologist specialist

_____ Insurance would not pay _____ Felt it was not necessary

_____ Distance too far _____ Other

(specify)_______________________________________

10. If YES, by whom were you referred?

_____ Adult rheumatologist _____ Orthopedic physician

_____ Arthritis Foundation / AJAO ___X__ Pediatrician

_____ Family practice physician _____ Other

(specify)______________________________________

_____ Nurse practitioner

11. After the onset of symptoms, how long was it before your child was

referred to the pediatric rheumatologist?

__X___ 0 - 6 months _____ 2 - 4 years

_____ 6 - 12 months _____ 5 or more years

_____ 1 - 2 years

12. How long is your travel time one way to see this pediatric

rheumatologist?

__X___ Less than 30 minutes _____ 2 - 4 hours

_____ 30 - 60 minutes _____ More than 4 hours

_____ 1 - 2 hours

13. How far do you travel one way to see this pediatric rheumatologist?

__X___ Less than 25 miles _____ 100 - 200 miles

_____ 25 - 50 miles _____ More than 200 miles

_____ 50 - 100 miles

14. Does your child currently see a pediatric rheumatologist?

__X___ Yes _____ No (please skip to question 16)

15. If YES, where does your child see the pediatric rheumatologist? (After

answering, please skip to question 17)

___X__ Doctor's office (private practice) _____ Outreach clinic

_____ Hospital outpatient clinic _____ Other

(specify)_______________________________________

16. If NO, why not? (After answering, please skip to question 21)

_____ Distance too far _____ Loss of income / travel expenses

_____ Insurance will deny payment _____ Referral not given

_____ Other (specify)________________________________________

17. How often does your child see the pediatric rheumatologist?

_____ Once a month _____ Every six months

_____ Every other month _____ Once a year

__X___ Every three to four months _____ Other

(specify)______________________________

18. In your opinion, does your child see the pediatric rheumatologist as

often as needed?

__X__ Yes (please skip to question 20) _____ No

19. If NO, why not?

_____ Distance too far _____ Loss of income / travel expenses

_____ Insurance will deny payment _____ Referral not given

_____ Other (specify)________________________________________

20. How many years has your child received care from a pediatric

rheumatologist?

__X___ Less than one year _____ Three

_____ One _____ Four

_____ Two _____ Five or more years

21. Since the initial onset of symptoms, has your child seen any other

doctors? (Please check the additional space if this

provider is a pediatric specialist.)

pediatric specialist? pediatric

specialist?

_____ Allergist _____ __X___ Ophthalmologist _____

_____ Cardiologist _____ _____ Optometrist _____

_____ Dermatologist _____ _____ Orthodontist _____

_____ ENT _____ _____ Orthopedic surgeon _____

_____ Gastroenterologist _____ ___X__ Pediatrician

_____ Hematologist _____ _____ Podiatrist _____

_____ Immunologist _____ _____ Pulmonologist _____

_____ Nephrologist _____ _____ Other

(specify)_______________________________

_____ Neurologist _____ _____ None

22. Since the onset of symptoms, has your child seen any other health care

providers? (Please check the additional space

if this provider specializes in the area of pediatric rheumatology.)

ped. rheu. specialist?

ped. rheu. specialist?

_____ Acupuncturist _____ __X___ Occupational Therapist

_____

_____ Behavioral Psychologist _____ _____ Pain Management

Specialist _____

_____ Dietician _____ __X___ Physical Therapist _____

_____ Massage Therapist _____ _____ Speech Therapist _____

_____ Nurse _____ _____ None

_____ Nurse Practitioner _____ _____ Other

(specify)_______________________________

23. How satisfied are you with your child's medical care?

__X___ Very satisfied _____ Unsatisfied

_____ Satisfied _____ Very unsatisfied

24. Does your child have health insurance coverage?

__X___ Yes _____ No (please skip to question 27)

25. If YES, what type of health insurance coverage does your child have?

__X___ Traditional (fee for service)

_____ HMO / managed care

_____ Medicare/Medicaid

_____ Other (please specify)_________________________________________

26. Please check if your child's health insurance covers: *PT/OT is limited

_____ Adaptive equipment / assistive devices __X___ Physical

therapy (outpatient)

___X__ Occupational therapy (outpatient) _____ Prescription

drug coverage

_____ Orthotics _____ Splints

_____ None of these are covered

27. Please estimate your yearly medical expenses (the part you pay, not the

part paid by insurance) for your child's

arthritis-related health care.

_____ Under $500 _____ $1,000 - $1,500 _____ $2,000 -

$2,500

_____ $500 - $1,000 _____ $1,500 - $2,000 __X___ Over

$2,500

28. Please list your:

City ___SALEM___________________________ State

____VA___________________ Zip Code ___24153_________________

29. Race/Ethnicity:

_____ African American _____ Asian American __X___

Caucasian/White

_____ Latino/Hispanic _____ Native American _____ Pacific

Islander

_____ Other (please specify)

_________________________________________

30. Where or how did you receive this survey?

_____ AJAO / Arthritis Foundation direct mail _____ Internet / AF

web site

_____ AJAO National Conference _____ Kids Get Arthritis Too

newsletter

_____ Arthritis Today magazine _____ Local or Chapter AJAO /

AF camp or event

_____ Doctor's office __X___ Other

(specify)_______EMAIL______________________________

Please note any additional comments on reverse. Thank you!

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