Utilizing the 2016 National Survey of Children's Health, this study illustrates that children with ASD have nearly 4 times higher odds of unmet health care needs compared to children without disabilities, whereas children with other disabilities had nearly 2 times higher odds of unmet health care needs compared to children without disabilities.…

Health care reform has changed the landscape for the nation's health safety net, and school-based health centers (SBHCs) remain an important part of this system. However, few large-scale studies have been conducted to assess their impact on access to care. This study investigated differences in access among a nationally representative sample of…

Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled…

The National Survey of Children's Health (NSCH) provides a unique resource with which to analyze the health status, health care use, activities, and family and community environments experienced by children in rural and urban areas. The NSCH was designed to measure the health and well-being of children from birth through age 17 in the United…

This chartbook uses the 2007 National Survey of Children's Health (NSCH) to report on recent findings on children with special health care needs (CSHCN) in the United States. The NSCH provides a unique view of CSHCN in the context of where they live, play and go to school. It also allows comparisons to children without special health care needs.…

While data sources exist to measure and monitor the health of children in the United States, few take into account the many contexts in which children grow and develop, including their family and community environments. The National Survey of Children's Health (NSCH), conducted in 2007, addresses multiple aspects of children's health and…

The National Assembly on School-Based Health Care's (NASBHC) 2007-2008 Census is the 11th request for data from school-based health centers (SBHCs) since 1986. The Census: (1) provides a better understanding of the role of SBHCs in meeting the needs of underserved children and adolescents; (2) collects relevant trend data on demographics,…

Parents and grandparents, just like everyone else, are ready to extol (maybe even exaggerate) the attributes and accomplishments of their offspring. The need to respond to accomplishments is essential for the sake of the special child and his/her parents. In their zeal to reassure and encourage one's own special child, it is easy to deny the…

The problems of access, adequacy, and affordability of health insurance for persons with severe chronic conditions are analyzed. Part 1 defines the target population by considering conceptual and methodological issues, and examines statistics from various national surveys. Part 2 examines the distribution of health insurance throughout the…

Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural-urban differences in types of providers used, reasons CSHCN had unmet health care needs,…

This national survey of 2,299 elderly Hispanic Americans found that a great number face a daily struggle, living on limited incomes and coping with poor health. Problems in later years are the result of immigration patterns, low educational attainment, and limited English proficiency that have resulted in a lifetime of low income, no pension, and…

This paper begins by noting that at the time that Medicare was enacted in 1965, the plans for funding Medicare through a mix of public and private financing mechanisms seemed quite adequate. It goes on to explain how, 20 years later, the situation is changing enough to create a need to examine whether there is a fairer or more efficient way to…

A national survey of the needs, resources, and future expectations of veterans aged 55 and over produced findings that the Veterans Administration (VA) will use over the next decade to plan facilities and programs to meet those needs. Findings indicated veterans had a higher educational level and were less likely to be at the lower end of the…

Examines changes in children's health insurance status and utilization of health services in the past decade, using 1977 National Medical Care Expenditure Survey data and 1987 National Medical Expenditure Survey data. Policies that could reduce the number of uninsured children (mandated employment-related coverage and incremental Medicaid…

The National Assembly on School-Based Health Care conducted the 2004-05 Census, the tenth count of school-based health centers (SBHCs) since 1986, to: (1) provide a better understanding of the role of SBHCs in meeting the needs of underserved children and adolescents; (2) collect up-to-date data on demographics, staffing services, operations,…