Managed Care Organizational Characteristics and Health Care Use among Children with Special Health Care Needs

Managed care and children with special health care needs.

The implementation of managed care for children with special health care needs is often associated with apprehension regarding new barriers to health care services. At times, these barriers may overshadow opportunities for improvement. This statement discusses such opportunities, identifies challenges, and proposes active roles for pediatricians and families to improve managed care for children...

Prevalence and characteristics of children with special health care needs.

BACKGROUND Children with special health care needs (SHCNs) are an important population from health care services, economic, and policy perspectives. However, until recently, no national data on their prevalence and health care service needs that use a commonly accepted definition have existed. OBJECTIVE To provide national estimates of the number of children with SHCNs and their characteristi...

Associations between quality of primary care and health care use among children with special health care needs.

OBJECTIVE To determine whether parent-reported quality of primary care was associated with subsequent health care use for children with special health care needs. DESIGN Secondary analysis of prospectively collected data. SETTING The 2004-2005 and 2005-2006 Medical Expenditure Panel Survey panels. PARTICIPANTS A total of 1591 children with special health care needs. MAIN EXPOSURES Compo...

Trajectories and outcomes among children with special health care needs.

BACKGROUND AND OBJECTIVE Outcomes for children with special health care needs (SHCN) can vary by their patterns and persistence over time. We aimed to empirically establish typical SHCN trajectories throughout childhood and their predictive relationships with child and parent outcomes. METHODS The 2 cohorts of the nationally representative Longitudinal Study of Australian Children were recrui...

Children with special health care needs.