title: Parents' perspectives on access to rehabilitation services for their children with special healthcare needs.
abstract: OBJECTIVE
  This study examined parents' (caregivers') perspectives on problems related to access to therapy services for their children with special healthcare needs (CSHCN) as predicted by child, family, and health insurance characteristics.
  
  
  METHODS
  Secondary data analysis was conducted using the Family Partners Project database. A subsample of 1027 parents of CSHCN who received rehabilitation services in the year before the study were the participants.
  
  
  RESULTS
  Child, family, and insurance characteristics explained 19.1% of problems related to access to rehabilitation services with family characteristics being the strongest predictor (10.8%). Odds ratios are reported for these characteristics.
  
  
  CONCLUSIONS
  Family financial hardship, the child's age, and managed care practices in health insurance plans may be the primary factors contributing to problems related to access to therapy services for CSHCN. Therapists may need a better understanding of family challenges with access to services to be more effective advocates.
authors.affiliation: Drexel University, Philadelphia, Pennsylvania 19102, USA. moneil@drexel.edu
authors.forename: Margaret E
authors.initials: ME
authors.lastname: O'Neil
authors.forename: Tracy E
authors.initials: TE
authors.lastname: Costigan
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Gracely
authors.forename: Nora
authors.initials: N
authors.lastname: Wells
mesh_terms: D000328:Adult; D000367:Age Factors; D002648:Child; D019988:Children with Disabilities / Q000534:rehabilitation*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires