Models of care and classification of "Children with special health care needs-CSHCN": Recommendations from the CSHCN Committee, Chilean Paediatric Society
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Keywords

Chronic Disease
Paediatrics
Classification
Disability
Primary Health Care
Children with Special Health Care Needs
Organization and Administration

How to Cite

1.
Flores Cano JC, Lizama Calvo M, Rodríguez Zamora N, Ávalos Anguita ME, Galanti De La Paz M, Barja Yañez S, Becerra Flores C, Sanhueza Sepúlveda C, Cabezas Tamayo AM, Orellana Welch J, Zillmann Geerdts G, Antilef RM, Cox Melane A, Valle Maluenda M, Vargas Catalán N. Models of care and classification of "Children with special health care needs-CSHCN": Recommendations from the CSHCN Committee, Chilean Paediatric Society. Andes pediatr [Internet]. 2016 May 25 [cited 2025 Oct. 22];87(3):224-32. Available from: https://andespediatrica.cl/index.php/rchped/article/view/3408

Abstract

"Children with special health care needs" (CSHCN) is an emerging and heterogeneous group of paediatric patients, with a wide variety of medical conditions and with different uses of health care services. There is consensus on how to classify and assess these patients according to their needs, but not for their specific diagnosis. Needs are classified into 6 areas: a) specialised medical care; b) use or need of prescription medication; c) special nutrition; d) dependence on technology; e) rehabilitation therapy for functional limitation; and f) special education services. From the evaluation of each area, a classification for CSHCN is proposed according to low, medium, or high complexity health needs, to guide and distribute their care at an appropriate level of the health care system. Low complexity CSHCN should be incorporated into Primary Care services, to improve benefits for patients and families at this level. It is critical to train health care professionals in taking care of CSHCN, promoting a coordinated, dynamic and communicated work between different levels of the health care system. Compliance with these guidelines will achieve a high quality and integrated care for this vulnerable group of children.
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