TABLE 3

Models of Odds of Achieving Satisfaction Outcomes: CSHCN in SCHIP or Medicaid

Percent Usually or Always Satisfied With Child's Health Services (n = 6663), OR (95% Confidence Interval)aPercent That Achieved All 5 Components of Family-Centered Care (n = 6199), OR (95% Confidence Interval)b
model 1model 2model 1model 2
Insurance (referent = Medicaid)
    SCHIP0.95 (0.78–1.15)0.92 (0.75–1.13)0.93 (0.74–1.17)0.96 (0.77–1.19)
    Uninsured0.52 (0.38–0.69)c0.51 (0.38–0.67)c0.58 (0.38–0.88)d0.57 (0.38–0.86)d
Age of child (referent = 12–17 y)
    0–5 y1.91 (1.50–2.44)c1.90 (1.49–2.43)c1.34 (1.04–1.71)e1.33 (1.04–1.69)e
    6–11 y1.18 (0.97–1.44)1.19 (0.97–1.44)1.07 (0.86–1.32)1.07 (0.87–1.33)
Race (referent = white)
    Hispanic0.59 (0.46–0.76)c0.62 (0.48–0.80)c0.39 (0.30–0.51)0.39 (0.30–0.51)c
    Black, non-Hispanic0.98 (0.82–1.43)0.97 (0.78–1.24)0.46 (0.36–0.59)0.46 (0.36–0.59)c
    Other0.76 (0.56–1.04)0.79 (0.58–1.09)0.83 (0.59–1.14)0.83 (0.60–1.13)
2-parent family (referent = any other)1.16 (0.97–1.40)1.17 (0.96–1.40)1.05 (0.87–1.27)1.06 (0.87–1.28)
Highest education (referent = more than high school)
    Less than high school1.09 (0.82–1.44)1.06 (0.80–1.40)0.59 (0.43–0.80)d0.58 (0.43–0.79)d
    High school graduate1.17 (0.96–1.42)1.13 (0.93–1.37)0.86 (0.71–1.06)0.86 (0.72–1.06)
Usually/always has functional difficulty0.58 (0.48–0.71)c0.58 (0.48–0.70)c0.75 (0.61–0.92)d0.74 (0.60–0.91)d
State Medicaid characteristic
    >14.3 pediatricians per 10 000 children (referent = ≤14.3 )0.83 (0.70–0.98)e0.95 (0.80–1.14)
    Medicaid spending more than $1762 per enrolled child (referent = $1762 or less)1.20 (1.00–1.43)e1.04 (0.86–1.26)
    >53% children in Medicaid per state (referent = ≤53%)1.06 (0.89–1.26)1.13 (0.94–1.36)
    >81% state Medicaid covered by managed care (referent = ≤81%)1.08 (0.91–1.27)1.06 (0.89–1.26)
  • These analyses could only be performed on a subset of children in the sample where interviewers could differentiate children in SCHIP or Medicaid programs. — indicates model 1 where community-level variables are not added.

  • a This outcome was achieved if the family member responded that he or she was usually or always satisfied with the child's care. We excluded 101 respondents from the satisfaction analyses because they did not know, refused, or did not have a doctor visit in the 12 months before the survey.

  • b This outcome was achieved on the basis of 5 aspects of family-centered care: family feels like a partner in care; the doctor listens to the family; the doctor spends enough time with the family; the doctor is sensitive to family values; and the doctor provides information. We excluded 572 respondents from the satisfaction analyses because they did not know, refused, or did not have a doctor visit in the 12 months before the survey.

  • c P < .0001.

  • d P < .01.

  • e P < .05.