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Unmet needs of children with special health care needs in a specialized day school setting
Insights
Parents of children with special health care needs (CSHCN) face challenges accessing services like respite and palliative care. They desire better communication between medical providers and schools for improved care coordination.
Area of Science:
- Pediatric Health
- Healthcare Communication
- Family Support Services
Background:
- Children with Special Health Care Needs (CSHCN) often have complex medical issues requiring school-based care.
- Effective communication among families, healthcare providers, and schools is crucial but often limited.
- Parental concerns and satisfaction with inter-agency communication for CSHCN are under-researched.
Purpose of the Study:
- To identify the concerns of parents with CSHCN families.
- To assess satisfaction with communication between medical providers and schools.
- To explore needs for enhanced school health services.
Main Methods:
- A survey adapted from the American Academy of Pediatrics (AAP) was administered to parents of CSHCN.
- Data analysis focused on parental concerns, service access, and communication satisfaction.
- The study examined utilization of primary care and identified unmet needs.
Main Results:
- CSHCN families reported high primary care utilization but persistent difficulties in accessing services.
- Key unmet needs included respite and palliative care.
- Parents expressed a strong interest in improved health information exchange between schools and healthcare providers.
Conclusions:
- Families of CSHCN experience significant barriers to accessing essential support services.
- Enhanced communication and care coordination between schools and medical providers are critical for CSHCN.
- Augmenting school health services is a priority for families to better manage children's complex health needs.
Abstract:
Children with Special Health Care Needs (CSHCN) represent a significant component of the pediatric population. They often present to schools with multiple and increasingly complex health issues, including medical technology dependency. Their daily variation in health status requires close monitoring and communication among caregivers. Limited research exists regarding parental concerns and communication between health providers, schools, and families. This study identifies the concerns of parents with CSHCN families, including satisfaction with communication between medical providers and schools. Parents completed a survey adapted from the American Academy of Pediatrics (AAP). Analysis of data indicated a high utilization of primary care services but highlighted persistent difficulty accessing services. This study demonstrates families have basic unmet needs in attaining services, including respite and palliative care; indicated an interest in improved communication and coordination of health information between schools and their primary health care providers; and expressed interest in augmenting school health services.
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