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Health Care Changes for Children with Special Health Care Needs, 2005-2011

Thomas Sannicandro1, Susan L Parish2, Esther Son1,3

  • 1Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA, 02454, USA.

Maternal and Child Health Journal
|July 30, 2016
PubMed

Insights

Children with special health care needs faced greater unmet dental and therapy needs, with less care coordination and medical home access in 2009/10 compared to 2005/06. Further measures are needed to improve their healthcare access.

Area of Science:

  • Pediatrics
  • Health Services Research
  • Public Health

Background:

  • Children with special health care needs (CSHCN) often experience complex health and social challenges.
  • Understanding trends in healthcare utilization for CSHCN is crucial for policy and service development.

Purpose of the Study:

  • To compare healthcare utilization patterns among CSHCN between the 2005/06 and 2009/10 survey periods.
  • To identify changes in unmet needs, care coordination, and access to a medical home for CSHCN.

Main Methods:

  • Utilized data from the National Survey of Children with Special Health Care Needs (CSHCN) for 2005/06 (n=40,723) and 2009/10 (n=40,242).
  • Employed descriptive statistics to characterize the study samples.
  • Applied logistic regression models to analyze unmet needs, delayed care, care coordination, and medical home access.

Main Results:

  • CSHCN experienced increased unmet dental and therapy needs in 2009/10 compared to 2005/06.
  • Access to care coordination and medical home services decreased for CSHCN in 2009/10.
  • Trends indicated a worsening of specific healthcare access indicators for CSHCN over the study period.

Conclusions:

  • Findings highlight a decline in key healthcare access indicators for CSHCN between 2005/06 and 2009/10.
  • There is an urgent need for enhanced strategies to improve healthcare access and support services for CSHCN.
  • Policy interventions should focus on addressing unmet dental, therapy, and care coordination needs.

Keywords:
Children with special health care needsDisabilityHealth care utilizationHealth services

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