Do unmet needs differ geographically for children with special health care needs?

Kimberly G. Fulda, Katandria L. Johnson, Kristen Hahn, Kristine Lykens

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The purpose of this study was to identify geographic differences in health indicators for children with special health care needs (CSHCN). It was hypothesized that geographic differences in unmet health care needs exist among CSHCN by region in the United States. Data were obtained from the National Survey of Children with Special Health Care Needs, 2005-2006. Nine variables representing unmet needs were analyzed by geographic region. The region with the highest percent of unmet needs was identified for each service. Logistic regression was utilized to determine differences by region after controlling for age, gender, ethnicity, race, federal poverty level, relationship of responder to child, insurance status, severity of condition, and size of household. A total of 40,723 CSHCN were represented. Crude analysis demonstrated that the greatest unmet need for routine preventive care, specialist care, prescription medications, physical/occupational/speech therapy, mental health care, and genetic counseling occurred in the West. The greatest unmet need for preventive dental care, respite care, and vision care occurred in the South. Significant differences between regions remained for six of the nine services after controlling for potential confounders. Geographic differences in unmet health care needs exist for CSHCN. Further delving into these differences provides valuable information for program and policy planning and development. Meeting the needs of CSHCN is important to reduce cost burden and improve quality of life for the affected child and care providers.

Original languageEnglish
Pages (from-to)505-511
Number of pages7
JournalMaternal and Child Health Journal
Volume17
Issue number3
DOIs
StatePublished - 1 Apr 2013

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Delivery of Health Care
Preventive Medicine
Respite Care
Speech Therapy
Insurance Coverage
Dental Care
Policy Making
Occupational Therapy
Genetic Counseling
Poverty
Child Care
Prescriptions
Mental Health
Logistic Models
Quality of Life
Costs and Cost Analysis

Keywords

  • Access to care
  • Adolescents
  • Children
  • Children with special health care needs
  • Health services research

Cite this

Fulda, Kimberly G. ; Johnson, Katandria L. ; Hahn, Kristen ; Lykens, Kristine. / Do unmet needs differ geographically for children with special health care needs?. In: Maternal and Child Health Journal. 2013 ; Vol. 17, No. 3. pp. 505-511.
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Do unmet needs differ geographically for children with special health care needs? / Fulda, Kimberly G.; Johnson, Katandria L.; Hahn, Kristen; Lykens, Kristine.

In: Maternal and Child Health Journal, Vol. 17, No. 3, 01.04.2013, p. 505-511.

Research output: Contribution to journalArticle

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