TABLE 2.

Access to Care, Continuity of Care, Quality of Care, and Unmet Health Care Needs

Before SCHIPDuring SCHIP
AllWhiteBlackHispanicPAllWhiteBlackHispanicP
Access to care
    Had USC, %85.894.885.980.5.00097.198.395.097.9.019
    Used preventive care, %73.071.775.871.8.61381.584.686.076.7.029
    Had any unmet health care need, % *31.327.237.529.3.12318.919.718.918.5.929
Continuity of care at medical home: proportion of visits to USC
    All or most, %47.061.253.933.9.00188.587.185.891.7.066
    Some or none, %53.038.846.166.1.00111.512.914.28.3.066
Consumer assessment of quality: my provider usually or always
    Listens carefully to me, %77.287.780.468.6.00085.491.092.076.5.000
    Explains things in an understandable way, %82.390.785.674.6.00089.494.793.782.5.000
    Respects what I have to say, %86.588.191.781.7.00493.295.695.290.1.003
    Spends enough time with me, %76.180.278.871.7.20284.692.485.878.4.007
Mean rating of all care 8.058.268.247.78.1378.758.948.688.68.112
  • * Unmet need prevalence levels include both delayed and foregone care, resulting in a higher prevalence than is found using instruments that assess care that the child “needed but could not get.” Disparities in unmet need were present between white and black children when paired comparisons were performed (see Table 3). Joint comparisons shown here are for overall differences among 3 groups.

  • On a scale of 0 to 10; 10 indicates the best.