Archives of Disease in Childhood 2008;93:2-4
Perspectives
Specialty services for children with special health care needs: supplement not supplant the medical home
Associate in Division of Critical Care Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Children’s Hospital Boston
Robert J Graham, MD, Children’s Hospital Boston, Critical Care Med/Bader 629, 300 Longwood Avenue, Boston, MA 02115–5724, USA; Robert.Graham@childrens.harvard.edu
| The first 150 words of the full text of this article appear below. |
Children with special health care needs (CSHCN) are a large part of the population in developed countries throughout the world.1 Definitions vary, and can encompass children with congenital, acquired and developmental behaviour conditions, degrees of chronicity, technology dependence, limitations in activity or care dependence, and other factors. The broadest prevalence estimates range as high as 18–44% of the general paediatric population.2 3 Complex medical needs and related vulnerabilities in this population might necessitate extensive home care and community services, frequent outpatient visits and use of acute care services. Unfortunately, there are cavernous voids in systematic care of CSHCN.
Several studies have demonstrated the extensive use of emergency services by CSHCN4–6 as well as general inpatient7 8 and critical care services.9–12 Dosa et al showed that children with any chronic health condition had a relative risk of 3.3 for unscheduled intensive-care admission versus compared with those without chronic illness. The subgroup with previous
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Prentiss, K. A, Vinci, R.
(2009). Children in emergency departments: who should provide their care?. Arch. Dis. Child.
94: 573-576
[Full Text]
- Full Text
- Full Text (PDF)
-
All Versions of this Article:
adc.2007.129999v1
93/1/2 most recent - Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
