Skip to main content
Sign In

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 COR, 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. 

Current Grants

Provider Adherence to Thyroid Function and Cervical Spine Screening in Children with Down Syndrome Receiving Primary Care at The Children’s Hospital, Colorado
Principal/TCH Investigator: Karen Kelminson, MD
COR Co-investigators: Allison Kempe, MD MPH
Funding Agency: Primary Care Research Fellowship

Control Preferences of Parents of Children with Special Needs
Principal Investigator: David Fox, MD
COR/TCH Co-investigators: Daniel Matlock, MD, Allison Kempe, MD MPH
Funding Agency: Primary Care Research Fellowship




Fox D, Campagna E, Reese D, Dickinson M, Morrato E, and Kempe A. Laparoscopic Fundoplication in Children’s Hospitals: 2005-2008. Submitted for presentation at the Pediatric Academic Society Annual Meeting. May, 2010. Vancouver, BC


Fox, D, Partrick, D, Morrato, EH, Bruny, J, Benton, K, Kempe, A. National Trends Regarding Fundoplication in Neurologically Impaired Children (submitted to Academic Pediatrics)