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Research ArticleOriginal Research

Difficulty Obtaining Behavioral Health Services for Children: A National Survey of Multiphysician Practices

Alyna T. Chien, JoAnna Leyenaar, Marisa Tomaino, Steven Woloshin, Lindsey Leininger, Erin R. Barnett, Jennifer L. McLaren and Ellen Meara
The Annals of Family Medicine January 2022, 20 (1) 42-50; DOI: https://doi.org/10.1370/afm.2759
Alyna T. Chien
1Division of General Pediatrics, Department of General Pediatrics, Boston Children’s Hospital, Boston, Massachusetts
2Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
MD, MS
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  • For correspondence: alyna.chien@childrens.harvard.edu
JoAnna Leyenaar
3Department of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
MD, PhD, MPH
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Marisa Tomaino
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
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Steven Woloshin
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
5The Lisa Schwartz Foundation for Truth in Medicine, Norwich, Vermont
MD, MS
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Lindsey Leininger
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
PhD
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Erin R. Barnett
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
6Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
PhD
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Jennifer L. McLaren
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
6Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
MD
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Ellen Meara
4The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, New Hampshire
7National Bureau of Economic Research, Cambridge, Massachusetts
8Harvard T.H. Chan School of Public Health, Boston, Massachusetts
PhD
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Supplemental materials in PDF file below

Supplemental Appendix 1. Survey Sample and Item Non-Response 

Supplemental Figure 1a. NSHOS practice survey question used to define multiphysician primary care and multispecialty practices that serve children. 

Supplemental  Figure 1b. Consort Diagram 

Supplemental  Table 1c. Item Non-Response 

Supplemental Appendix 2. Variable Definitions and Sources 

Supplemental Table 2a. Variable definitions and sources 

Supplemental Appendix 3: Supporting tables to Figure 1 in main manuscript. 

Supplemental Table 3a: Distribution of Outcome Variable Responses 

Supplemental Table 3b: Supporting table to the Figure 3a 

Supplemental Table 3c: Adjusted odds-ratios from logistic regression models, compared with referent in difficulty obtaining pediatric behavioral health advice and services 

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