Why Access to Specialized Medical Care Remains a Challenge for Children

For families whose children need advanced medical treatment, finding the right specialist can involve more than getting a referral. They may need to travel to another city or state to reach a hospital with the appropriate expertise. A recent analysis from Vizient examines how the uneven distribution of pediatric services is creating challenges for families across the United States.

According to the Vizient analysis, the country has approximately 220 children's hospitals with a combined capacity of around 35,000 beds. That amounts to roughly 49 beds per 100,000 children. Many of these hospitals are located in major metropolitan areas, leaving families in rural communities and other underserved regions with fewer nearby options for inpatient pediatric care.

The availability of local services is also changing. Some hospitals have reduced or repurposed pediatric units as birth rates decline and demand shifts. At the same time, the supply of specialists remains a concern. The analysis reports that only 78% of pediatric subspecialty fellowship positions were filled in 2026, highlighting difficulties in developing the workforce needed to care for children with complex medical conditions.

These challenges may become more significant as advanced treatments, including certain cell and gene therapies, become available. Such treatments may be offered at a limited number of specialized centers, requiring families to arrange transportation, accommodation, and time away from work. Long distances can also complicate follow-up appointments and place additional pressure on caregivers.

The Children's Hospital Association provides further information about the pediatric hospital landscape and the pressures affecting children's healthcare services.

Vizient recommends closer collaboration between specialist hospitals and community healthcare providers. Its analysis also highlights the value of informing families about available treatments and providing dedicated support to help them coordinate appointments and other care arrangements.

Telehealth can help families discuss symptoms, understand medical recommendations, and prepare questions for their child's healthcare team without traveling for every consultation. However, virtual appointments cannot replace examinations or treatments that require an in-person visit.

If you have questions about your child's health or need help understanding the next steps in their care, My Pediatric Doctor offers pediatric telehealth services to help families connect with a doctor from home.

References

1. Shah S, Kopaskie K, Narra S. Where Kids Are Is Not Where Care Is — and That Gap Is Widening. Vizient, August 26, 2026.

2. Children's Hospital Association. Children's Hospitals Landscape Report.

3. Children's Hospital Association. Analytics & Data.