Navigation Links
States vary in children's health, gaps exist in insurance, quality care across sectors
Date:5/12/2011

PORTLAND, Ore. A comprehensive report based on the National Survey of Children's Health conducted by children's health researchers at Oregon Health & Science University and the Maternal and Child Health Bureau finds insurance duration, consistency and adequacy, and the corresponding access to health care, are lacking for many U.S. children and have a detrimental effect on their health and well-being.

The researchers cite a need for improvement in all states, with wide variations across states that can inform improvement efforts. The results especially support national goals focused on the consistency of insurance coverage and access to mental health and specialist care, preventive care, family-centered care and care coordination for children. Their study is published online in the journal Academic Pediatrics.

"Our findings show we are on the right track with priorities for improving health care set forth in health care reform legislation; yet, cross-cutting health and quality disparities exist for children and urge rapid, course-changing innovation and progress," said Christina Bethell, Ph.D., M.B.A., M.P.H., lead author, professor of pediatrics in the OHSU School of Medicine, OHSU Doernbecher Children's Hospital; and director of the Child and Adolescent Health Measurement Initiative at OHSU.

The researchers found significant differences in the health and well-being of children, their access to health care, and consistency of insurance coverage depending on their state of residence. And although some states consistently perform at the top on these quality indicators, no state consistently performs well on all measures.

The data are derived from the 2007 National Survey of Children's Health, which represented approximately 1,700 children, ages birth to 17, from each state and the District of Columbia. Survey respondents were a parent or other adult in the household who knew the child and the child's health history.

Key findings from this profile of health problems and quality of care for all children include:

  • An estimated 43 percent of U.S. children have at least one of 20 chronic health conditions assessed (32 million); that number increased to 54.1 percent when including whether the child is overweight or obese or at risk for developmental delays.
  • 19.2 percent of U.S. children have conditions resulting in their identification as having a special health care need, a 1.6-point increase since 2003.
  • The prevalence, complexity and severity of health problems were greater for the 29.1 percent of children who are publicly insured versus privately insured, even after adjusting for variations in demographic and socioeconomic factors.
  • Fewer than half (45 percent) of all children in the United States scored positively on a minimal quality of care measure that included adequate insurance, a preventive care visit and care within a medical home.
  • Notable disparities exist among publicly insured children according to race/ethnicity and across all children by special needs status and household income.

"This study demonstrates the value of national- and state-level data gathered from the National Survey of Children's Health, which was specifically designed to link health, insurance and quality of care information at the child level. This linkage is critical to a whole child and whole systems picture of performance and priorities," said Michael Kogan, Ph.D., study co-author and director of the Office of Epidemiology, Policy and Evaluation, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services.

With the passage of the Children's Health Insurance Program Reauthorization Act and the Patient Protection and Affordable Care Act, the United States has a unique opportunity to improve the health and well-being of its young citizens, the researchers conclude, and the National Survey of Children's Health is one of a few resources that can supply the national and state-level data necessary to measure CHIPRA progress.


'/>"/>

Contact: Tamara Hargens-Bradley
hargenst@ohsu.edu
503-494-8231
Oregon Health & Science University
Source:Eurekalert

Related medicine news :

1. Happiest States Show Highest Suicide Rates: Study
2. International Open Access meeting comes to the United States
3. Apnea may be cause for awakening and voiding for those with enlarged prostates report Ben-Gurion U.
4. Southeastern States Mired in the Diabetes Belt: CDC Report
5. United States Sees Record Drop in Teen Births From 2007-09
6. 40 States Get an F in Tobacco Prevention From New Report Card
7. States Now Fund Most Embryonic Stem Cell Research in U.S.
8. Cholera and vaccine experts urge United States to stockpile vaccine
9. Preterm birth rates improve in most states
10. States Urged to Fill Gap in Helping Smokers Quit
11. Smokeless Tobacco Use Widespread in Some States
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department ... in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at ... Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June 14 ... The article goes on to state that individuals are now more comfortable seeking to ... operations such as calf and cheek reduction. The Los Angeles area medical group, Beverly ...
(Date:6/24/2016)... ... 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. In ... benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued ... Sickle Cell Disease (SCD) is a disorder of the red blood cells, which can ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Scientific Sessions in Dallas that it will receive two significant new grants to ... came as PHA marked its 25th anniversary by recognizing patients, medical professionals and ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all ... brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the ... (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality (Filler, ... Global Forecast to 2021" report to their offering. ... pharmaceutical excipients market is projected to reach USD 8.1 ... the forecast period 2016 to 2021. ...
(Date:6/23/2016)... Research and Markets has announced the ... 2016 - Forecast to 2022" report to their offering. ... up to date financial data derived from varied research sources ... with potential impact on the market during the next five ... comprises of sub markets, regional and country level analysis. The ...
(Date:6/23/2016)... 2016 Bracket , a leading clinical trial ... clinical outcomes platform, Bracket eCOA (SM) 6.0, at the ... – 30, 2016 in Philadelphia , Pennsylvania.  ... Assessment product of its kind to fully integrate with RTSM, ... eCOA 6.0 is a flexible platform for electronic clinical outcomes ...
Breaking Medicine Technology: