title: Health Care Changes for Children with Special Health Care Needs, 2005-2011.
abstract: Objective This study compared health care utilization of children with special health care needs in 2005/06 and 2009/10. Methods Using data from the National Survey of Children with Special Health Care Needs, this study compared the health care utilization of children with special health care needs in 2005/06 (n = 40,723) and 2009/10 (n = 40,242). Descriptive statistics characterize the sample during the 2005/06 and 2009/10 surveys. Logistic regression models examined the unmet needs for specific health care and support services, delayed care, coordinated care, and medical home. Results Compared to 2005/06, in 2009/10 children with special health care needs had greater unmet dental and therapy needs and less care coordination of health services as well as access to medical home services. Conclusions These findings indicate that additional measures are needed to improve the health care access of children with special health care needs.
authors.affiliation: Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA, 02454, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Sannicandro
authors.affiliation: Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA, 02454, USA. slp@brandeis.edu.
authors.forename: Susan L
authors.identifier: 0000-0003-1865-4662
authors.initials: SL
authors.lastname: Parish
authors.affiliation: Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA, 02454, USA.|Department of Social Work, City University of New York at Staten Island, New York, NY, USA.
authors.forename: Esther
authors.initials: E
authors.lastname: Son
authors.affiliation: Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA, 02454, USA.
authors.forename: Robyn M
authors.initials: RM
authors.lastname: Powell
mesh_terms: D016009:Chi-Square Distribution; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D019988:Children with Disabilities / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D044469:Racial Groups / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: Children with special health care needs; Disability; Health care utilization; Health services