TY - CHAP M1 - Book, Section TI - Chapter 124. The Technology-Dependent Child A1 - Gordon, John B. A1 - Brown, Sarah P. A1 - Karkos, Jerie Beth A1 - D'andrea, Lynn A. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e AB - In 1997, the Maternal Child Health Bureau adopted the title Children with Special Health Care Needs (CSHCN) to identify children who have, or are at risk of having, a chronic physical, developmental, behavioral, or emotional condition that requires health and related services of a type or amount beyond that required by children generally.1 Applying this definition to data collected in the 1994 National Health Interview on Disability, 18% of the pediatric population is identified as having special needs. In three subsequent survey reports, the National CSHCN Screener in 2001, the National Survey of CSHCN in 2003, and the 2001–2004 Medical Expenditures Panel Surveys, the prevalence of CSHCN has ranged from 12.8% to 19.3%.2 Multiple studies using data from these surveys have shown that CSHCN use more resources, have greater unmet health care needs (both primary and specialty care), higher costs, and inadequate insurance. Children with the highest functional disability were 50% less likely to have adequate insurance as are minority and poor families. In addition, there has been an increase in health care costs borne by families, particularly when privately insured.3-5 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6722574 ER -