RT Book, Section A1 Feinstein, James A. A1 Brittan, Mark A1 Stille, Christopher J. A2 Kline, Mark W. SR Print(0) ID 1182927523 T1 Complex Care T2 Rudolph's Pediatrics, 23e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259588594 LK accesspediatrics.mhmedical.com/content.aspx?aid=1182927523 RD 2024/04/25 AB In 1997, the Maternal Child Health Bureau adopted the term children with special healthcare 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 generally required by children. The prevalence of CSHCN ranges from 12% to 19%. Children with special healthcare needs use more resources and have greater unmet healthcare needs (both primary and specialty care), higher costs, and inadequate insurance. Compared to those without special healthcare needs, there is an increase in healthcare costs borne by families of CSHCN, particularly those who have private insurance. Among CSHCN, poor and minority children are at higher risk for inadequate insurance, as are children with higher levels of functional disability.