TABLE 4

Proportion of YSHCN, Ages 12–17, Meeting the Overall Health Care Transition Planning Measure and Individual Elements by Health System Characteristics

Overall Transition Measure: Youth Receives Services To Make Transition to Adult Health Care, n = 5786Doctor or Other HCP Discussed Shift to Adult Provider When Needed, n = 5706Doctor or Other HCP Actively Worked With Youth To Gain Skills or Understand Changes in Health Care, n = 5288Youth Had Time Alone With Their Doctor or Other HCP at Last Preventive Checkup, n = 5713
% (SE)P% (SE)P% (SE)P% (SE)P
Personal doctor or nurse
 Yes17.0 (1.1).2539.4 (1.4).0470.7 (1.4).0245.5 (1.5).17
 No14.2 (2.0)48.2 (4.1)59.8 (4.5)39.6 (3.9)
Usual source of care when sick
 Yes16.6 (1.0).6839.2 (1.4).0169.0 (1.4).7046.0 (1.4).06
 No15.3 (2.8)51.2 (4.7)67.0 (5.2)37.1 (4.3)
Family-centered care
 Yes18.9 (1.1).0639.8 (1.4).6273.6 (1.2)<.00150.3 (1.4).01
 No12.4 (2.8)42.3 (4.8)44.8 (5.0)37.4 (4.4)
Problems getting referrals
 Yes15.9 (3.4).3136.6 (4.8).3759.0 (5.4).00340.0 (5.0).13
 No20.2 (2.2)41.6 (2.8)75.4 (2.4)48.9 (2.8)
Care coordination
 Yes20.4 (1.5)<.00139.0 (1.9).8476.6 (2.0)<.00149.4 (2.1).04
 No10.5 (1.1)39.7 (2.5)52.8 (2.7)42.8 (2.5)
Medical homea
 Yes18.3 (1.3).1038.3 (1.7).0676.4 (1.4)<.00148.0 (1.8).02
 No15.1 (1.4)43.5 (2.1)62.3 (2.3)41.5 (2.1)
Written plan
 Yes22.9 (2.7).00343.4 (3.2).4888.7 (2.3)<.00153.2 (3.3).004
 No15.2 (1.0)40.9 (1.6)64.5 (1.6)42.7 (1.5)
  • Data source: United States Census Bureau. NSCH. Available at: https://www.census.gov/programs-surveys/nsch/data.html. Accessed August 8, 2018. —, not applicable.

  • a Medical home is defined as having (1) a personal doctor or nurse, (2) a usual source of care when sick, (3) family-centered care, (4) no problems getting referrals, and (5) care coordination.