Populations at Risk Across the Lifespan: Population Studies
Are Services to Tennessee Children with Special Health Care Needs Comparable with National Achievement of MCHB Objectives?
Article first published online: 20 SEP 2012
© 2012 Wiley Periodicals, Inc.
Public Health Nursing
Volume 30, Issue 1, pages 7–17, January/February
How to Cite
Lutenbacher, M., Karp, S. M., Dietrich, M. S. and Sullivan, J. N. (2013), Are Services to Tennessee Children with Special Health Care Needs Comparable with National Achievement of MCHB Objectives?. Public Health Nursing, 30: 7–17. doi: 10.1111/phn.12000
- Issue published online: 7 JAN 2013
- Article first published online: 20 SEP 2012
- children with special health care needs;
- family-centered care;
- MCHB objectives;
We assessed experiences of families with children with special health care needs already engaged with Tennessee Children's Special Services or a family advocacy agency, family voices, and compared their experiences with national data to determine achievement of national maternal-child health objectives.
Design and Sample
Using a descriptive/comparison design, Tennessee families engaged with the state or advocacy agency (n = 816) were compared with the 2005–2006 sample of the National Survey of Children with Special Health Care Needs (n = 40,840) and the Tennessee subsample (n = 794).
Primary data were obtained from a survey of families associated with either Tennessee agency. Secondary data analysis used raw data from the national survey.
All families reported challenges related to time, finances, and family interactions. Most were satisfied with health care services received. Dental care was an issue for all families, but more so for the agencies' sample. Those families also reported more problems with continuous screenings of their affected child and less coordination of care than the national sample.
Examining the experiences of families with special needs children who receive services from state agencies in the national context contributes to improving family-centered services and achieving Maternal-Child Health Bureau objectives.