Should Children With Special Health Care Needs Have Separate Preventive Care Visits?

Access to the Medical Home: New Findings From the 2005-2006 National Survey of Children With Special Health Care Needs

“…18 Increasing the capacity of the pediatric health care system to provide the continuum of care required to meet the unique needs of all children is a central theme in current national quality improvement initiatives, including redesign of practice and financing strategies to achieve these goals. 10, 19 Although the basic components of the medical home addressed in this study are consistent with those measured in the 2001 NS-CSHCN, the measurement strategy was modified for most components (Appendices 1 and 2), which limits our ability to compare progress over the past 5 years regarding the aspects of the medical home related to care coordination and access to needed referrals. The measurement strategy for family-centered care remained consistent.…”

Physician Behavior in the Care of Pediatric Chronic Illness: Association With Health Outcomes and Treatment Adherence

“…1,2 Nonadherence to medical treatment for pediatric chronic illness is highly prevalent, with a base rates of 50% or more across a wide range of conditions. 3,4 The clinical significance of the high prevalence of nonadherence to medical treatment stems from the potential negative impact on clinically relevant outcomes, such as symptoms and illness control, 5 mortality, 6 and health care costs.…”

“…7 The prevalence of nonadherence to treatment to medical treatment for pediatric chronic illnesses in combination with the potential negative consequences on health outcomes have stimulated a considerable body of research to identify factors that influence adherence and evaluate interventions to promote adherence. [1][2][3][4][5][6][7][8][9] Most descriptive studies have conceptualized nonadherence to pediatric chronic illness treatment as a characteristic of the child and/or family. Moreover, adherence promotion interventions have targeted such factors.…”

Healthy People 2010 Leading Health Indicators: How Children With Special Health Care Needs Fared

“…Furthermore, SHCN presence might complicate consistent assessment via preventative screenings, such as the measurement and tracking of weight status, when office visits were more often for the management of the child's unique acute and chronic health issues than well-child checks. 35,36 However, our analyses demonstrated how within-group progress for such indicators could be tracked over time. Our analysis extended recent work in this area 37 and provided 1 example of how such comparisons could be analytically approached.…”