Hardships of raising children with special health care needs (a commentary)

H Barry Waldman1, Steven P Perlman, Rick Rader

  • 1Department of General Dentistry, Stony Brook University, Stony Brook, New York, USA. hwaldman@notes.cc.sunysb.edu

Insights

Children with special health care needs (SHCN) require comprehensive care considering family and socioeconomic factors. Dental services are frequently needed but not received by these children.

Area of Science:

  • Pediatrics
  • Health Services Research
  • Family Medicine

Background:

  • Providing healthcare for children with special health care needs (SHCN) necessitates understanding their medical conditions and family context.
  • Factors such as poverty and family issues significantly impact children with SHCN and their families.
  • Identifying at-risk populations and understanding the demographics of those with unmet health needs is crucial.

Purpose of the Study:

  • To review the variable factors affecting children with special health care needs.
  • To identify specific unmet health needs within this population.
  • To highlight the disparity in accessing essential services, particularly dental care.

Main Methods:

  • A comprehensive literature review was conducted.
  • Data on socioeconomic factors, family dynamics, and health service utilization were analyzed.
  • Focus was placed on identifying commonly needed but unreceived health services.

Main Results:

  • Poverty, parental, and family issues were identified as significant variables impacting children with SHCN.
  • Demographic data revealed specific groups within the SHCN population experiencing unmet health needs.
  • Dental services were most frequently reported as needed but not received.

Conclusions:

  • Effective healthcare for children with SHCN demands a holistic approach, integrating medical, social, and familial considerations.
  • Addressing socioeconomic determinants is vital for improving health outcomes in children with SHCN.
  • There is a critical gap in dental care access for children with special health care needs that requires urgent attention.

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
Health Literacy01:21

Health Literacy

Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative programs,...