Abstract
This study measured the impact of 1993 Children's Special Health Care Services (CSHCS) program changes on the health care needs of rural children with chronic conditions who, in a 1991 study, were found to have significantly higher unmet health care needs compared to their urban counterparts. A follow-up survey was conducted in 1994 to 1995. The percentage of rural families indicating unmet needs declined for nearly all health-care-related items from 1991 to 1994-1995. The 1993 administrative changes in the CSHCS program have improved access to medical care and social support services for rural families, eliminating much of the urban-rural gap.
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