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Unmet health care needs among CSHCN with neurologic conditions

Rebecca H Bitsko1, Susanna N Visser, Laura A Schieve

  • 1Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Division of Human Development and Disability, 1600 Clifton Rd, Atlanta, GA 30333, USA. rhuotbitsko@cdc.gov

Pediatrics
|December 2, 2009
PubMed

Insights

Children with neurologic conditions often experience unmet health care needs, especially those with multiple or combined types of disorders. Improving care coordination is crucial for these children.

Area of Science:

  • Pediatric Health Services Research
  • Child Neurology
  • Health Disparities

Background:

  • Children with neurologic conditions require comprehensive health services.
  • Unmet needs in this population can significantly impact health outcomes.
  • Understanding the scope of these needs is essential for service improvement.

Purpose of the Study:

  • To examine the health care needs and unmet needs among children with neurologic conditions.
  • To compare these needs with children without special health care needs.
  • To analyze how the type and number of neurologic conditions influence unmet needs.

Main Methods:

  • Analysis of cross-sectional data from the 2005-2006 National Survey of Children With Special Health Care Needs.
  • Inclusion of parents' reports for children aged 3-17 years.
  • Comparison of children with neurologic conditions against a referent group, with statistical contrasts based on condition type (DSM or non-DSM) and quantity.

Main Results:

  • Parents of children with neurologic conditions reported higher rates of unmet health care needs compared to controls.
  • Children with multiple neurologic conditions (≥2) had more healthcare visits, greater service needs, and more unmet needs than those with a single DSM condition.
  • The greatest magnitude of need was observed in children with at least one DSM and one non-DSM neurologic condition.

Conclusions:

  • Significant unmet health care needs persist among children with neurologic conditions.
  • Children with a combination of DSM and non-DSM neurologic disorders face particularly pronounced unmet needs.
  • Targeted interventions focusing on care coordination are recommended for children with multiple neurologic conditions.
Abstract

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