title: Access to specialty medical care for children with mental retardation, autism, and other special health care needs.
abstract: Access to specialty medical care among children with mental retardation, autism, or other types of special health care needs was examined. Results from a national survey indicate that over a third of the children with autism, over a fifth with mental retardation, and over a fifth with other types of special health care needs had problems obtaining needed care from specialty doctors in the preceding year. The most common problems included getting referrals and finding providers with appropriate training. Children with unstable health conditions, autism, or those whose parent was in poor health were at greater risk for problems. Primary Medicaid coverage and public secondary health coverage were associated with fewer access problems. Implications for health services for children with special health care needs are discussed.
authors.affiliation: The Heller School for Social Policy and Management, MS 035, Brandeis University, PO Box 549110, Waltham, MA 02454-9110, USA. krauss@brandeis.edu
authors.forename: Marty Wyngaarden
authors.initials: MW
authors.lastname: Krauss
authors.forename: Stephen
authors.initials: S
authors.lastname: Gulley
authors.forename: Mark
authors.initials: M
authors.lastname: Sciegaj
authors.forename: Nora
authors.initials: N
authors.lastname: Wells
mesh_terms: D000293:Adolescent; D001321:Autistic Disorder / Q000534:rehabilitation* / Q000628:therapy; D002648:Child; D019988:Children with Disabilities; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000191:economics; D006801:Humans; D019458:Insurance Coverage; D008607:Intellectual Disability / Q000534:rehabilitation* / Q000628:therapy; D008297:Male; D008484:Medicaid; D008511:Medicine; D017150:Public Sector; D013038:Specialization