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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.
Abstract:
Providing health care services for youngsters with special health care needs (SHCN) requires understanding of the medical circumstances that impact on the particular youngster, as well as an increased awareness and sensitivity to their particular family setting, and the issues that impact on the child, his/her parents, and siblings. To this end a review was carried out regarding the variable affects on these youngsters, such as poverty, parental, and family issues, as well as considerations of who is at risk for SHCN and demographics of individuals with SHCN who have unmet health needs. The particular need for dental services, the health service most commonly reported as needed, but not received, is highlighted.
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