ArticleBMJ open2022
Care coordination and unmet need for specialised health services among children with special healthcare needs in the USA: results from a cross-sectional analysis of the national survey of children with special healthcare needs.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Caregiver-reported experience of integrated care for children with special health care needs and its sociodemographic, health- and network-related correlates in Germany: Cross-sectional results from the PART-CHILD cohort.BMC health services research · 2026Article
- Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children.Child & adolescent social work journal : C & A · 2026Article
- Article
- The assessment of continuity of care and care coordination for Children and Youth with Special Health Care Needs (CYSHCN): a cross-sectional descriptive study in Northeastern Italy.Italian journal of pediatrics · 2025Article
- Complex Care Needs of People with Technology Dependence in Disaster Situations: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children.Research square · 2025Article
- Care needs and factors reducing caregiver burden for children with special health care needs in out-of-home care in Japan: An observational study.Japan journal of nursing science : JJNS · 2025Observational
- Requirements for and Barriers to Rehabilitation Services for Children With Disabilities in Middle- and High-Income Countries: Scoping Review.Interactive journal of medical research · 2024Article
- What is the health status of girls and boys in the COVID-19 pandemic? Selected results of the KIDA study.Journal of health monitoring · 2023Article
- Editorial: International Youth Day - pediatric rehabilitation from a global health perspective.Frontiers in rehabilitation sciences · 2023Article
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Authors and funding
2 authors.
Funding
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Abstract
objectiveTo report rates of need and unmet need for specialised health services (occupational and speech therapies, durable medical equipment, home healthcare, and mobility and communication aids) from the National Survey of Children with Special Health Care Needs (CSHCN) (2009/2010) and assess the role of care coordination in having needs met. We distinguish between CSHCN with and without emotional, behavioural and developmental disorders (EBDPs) in the USA.
designA cross sectional cohort study of a nationally representative sample of CSHCN from the National Survey of CSHCN for 2009/2010 used logistic regression to assess the relationship between EBDPs and need and unmet need for specialised services. It also estimates the association of care coordination with unmet need for all services, for CSHCN with and without EBDPs.
settingA nationally representative sample of CSHCN in the USA.
participantsChildren ages 0-17 years of age.
resultsAcross all specialised health services, rates of unmet need were at or below 25%. Need and unmet need for most services was higher among CSHCN with EBDPs than those without. For CSHCN with and without EBDPs, adequate care coordination was associated with greater probability of having needs for therapy, home health and communication aids met.
conclusionCare coordination is essential to reducing barriers to a wide range of healthcare services for CSCHN. Policies requiring adequate insurance coverage for care coordination may play a critical role in ensuring access to specialised health services.
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