TABLE 3.

Parental Satisfaction and Interactions With Health Care Providers for White, Black, and Hispanic Children 4 to 35 Months of Age in the United States in 2000

MeasurePercentage or Mean (95% CI)P Value
White (N = 718)Black (N = 477)Hispanic (N = 817)
Parental satisfaction with care
    Parental reports of health care provider qualities*
        Never or only sometimes takes time to understand child's specific needs10 (8–13)15 (11–19)30 (26–34)<.001
        Never or only sometimes respects parent as expert on child14 (11–17)22 (18–27)25 (21–29)<.001
        Never or only sometimes understands how parent prefers to rear child35 (31–39)45 (40–51)46 (41–50)<.001
        Never or only sometimes asks how parent is feeling as parent55 (50–59)53 (47–59)61 (56–65)<.001
    Adequacy of time health care provider spent with child during last check-up.02
        Not enough time11 (8–13)10 (6–14)17 (13–20)
        Just the right amount of time89 (86–92)89 (84–93)81 (78–85)
        Too much time0.4 (0.01–1)2 (0.01–4)2 (0.2–4)
    Estimated time health care provider spent with child during last check-up, min21.1 (19.3–23.0)25.2 (22.6–27.7)23.3 (21.6–25.1).03
    Parents asked health care provider all questions they had95 (93–97)95 (93–97)92 (88–95).07
    Parent very likely to recommend well-child care provider84 (79–88)77 (70–84)60 (63–66)<.001
    Parental rating of well-child care provider (scale of 1–10)§8.8 (8.6–8.9)8.5 (8.3–8.7)8.6 (8.5–8.8).09
Topics discussed with parent by regular health care provider
    Violence in community6 (3–8)14 (10–18)20 (17–24)<.001
    Smoking in household72 (68–76)86 (83–90)85 (82–88)<.001
    Use of alcohol or drugs in household35 (30–39)58 (52–64)65 (61–69)<.001
    Trouble paying for child's needs10 (7–12)18 (13–22)14 (12–17).001
    Spouse/partner supportive of parenting style34 (30–38)46 (40–52)46 (41–50)<.001
    Immunizations97 (95–98)96 (93–98)94 (92–96).16
    Emotional support available to parent30 (25–33)39 (33–45)33 (29–37).01
    Parent's physical health38 (33–42)45 (40–51)39 (34–43).07
    Use of a car seat69 (64–73)77 (72–82)77 (74–81).001
    Child care arrangements30 (26–34)43 (38–49)38 (34–42)<.001
    Importance of reading to child59 (55–64)69 (64–75)64 (61–69).006
    Food/feeding issues83 (79–86)83 (78–87)85 (81–88).78
    Night waking, fussing, and bedtime routines58 (54–63)55 (49–61)53 (49–58).25
    Child's communication and speech issues71 (67–75)76 (71–80)70 (66–74).26
    Told parent developmental assessment performed47 (43–52)34 (29–40)43 (39–48).001
Use of health services
    Made age-appropriate number of well-child care visits#68 (64–72)70 (65–75)66 (62–70).55
    Mean no. of calls to doctor's office in past year4.28 (3.80–3.11)3.11 (2.59–3.62)2.00 (1.70–2.31)<.001
    ≥1 ED visits in past year32 (28–37)47 (42–53)41 (37–45)<.001
    ≥1 hospital stay in past year9 (7–12)17 (12–23)12 (10–16).005
Provider referred child to any specialist22 (18–26)17 (13–21)11 (9–14)<.001
  • Data are from the 2000 NSECH. Numbers of children are the numbers for whom responses were available. Percentages are weighted to represent US children 4 to 35 months of age.

  • * Parents' Likert scale response choices for each of these 4 questions consisted of the following: always, usually, sometimes, or never.

  • By parental report.

  • Based on a subsample of 894 children with a specific well-child care provider.

  • § Where 1 indicates the worst health care possible and 10 indicates the best health care possible.

  • Within the past 12 months, or since birth for children <12 months of age.

  • Different questions were asked depending on the child's age (0–9 months, 10–18 months, and 19–35 months), but similar topics were covered for all age groups. For each topic, data were combined for all 3 age groups and analyzed as “yes, the topic was covered” versus “no, the topic was not covered.”

  • # Parent reported at least the minimal number of well-child care visits recommended by the American Academy of Pediatrics9 for children within 1 month of the child's age.