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Children with Special Needs

One out of 8 children has special health care needs. More than 90% of children with special health care needs (CSHCN) have one or more secondary health conditions including asthma, allergies, ADHD, learning disabilities, depression, and anxiety, which contribute to increased mortality risk. CSHCN account for over 40% of total pediatric medical costs.

Although children with special health care needs represent a small percentage of the population, they use a large proportion of medical health care services in pediatrics because of their intense medical and psycho-social needs.  At the ACCORDS Child Program, Dr. Kelminson is interested in evaluating how different aspects of the “Medical Home” affect outcomes of children with special health care needs.  She is currently working on a qualitative analysis of a parent initiated social networking support group to determine how participation in such a group affects patient care, interactions between parents and the health care system, and how medical decisions are made.  She is also interested in evaluating how having a usual source of care affects health care utilization by children with special health care needs living in rural compared to urban areas. 

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