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Table 2 Health status, access to healthcare, unmet healthcare needs, use of services, quality of care, parental satisfaction with care, out-of-pocket costs, family financial burden, and costs of healthcare for uninsured children (N = 237) at baselinea

From: The health and healthcare impact of providing insurance coverage to uninsured children: A prospective observational study

Outcome Proportion or Mean (N = 237)
Health status
 Child’s health status not excellent or very goodb 93 (39%)
 Parent worries about child’s health more than other people 198 (84%)
 Parent has emotional worry or concern about child’s physical health 182 (77%)
 PedsQL total score 89.0 ± 13.2
Access to healthcare
 Child has no PCP 150 (63%)
 Child has no usual source of preventive care 95 (40%)
 Never/sometimes gets immediate care from PCPc 22 (21%)
 Child has no usual source of sick care 41 (17%)
 Different source of sick care and preventive care 127 (54%)
 Has no 24-h telephone coverage for sick care 208 (88%)
 Usual source of care has no night or weekend office hours 205 (87%)
 Never/sometimes can obtain after-hours telephone help or adviced 12 (48%)
Unmet healthcare needs
 Delayed or didn’t get needed healthcare in past year 170 (72%)
 Did not receive all needed preventive caree 88 (52%)
 Did not receive all needed acute caref 105 (81%)
 Did not receive all needed specialty careg 31 (58%)
 Did not receive all needed dental careh 117 (61%)
 Did not receive all needed prescription medicationsi 24 (18%)
 Did not receive all needed medical supplies or equipmentj 30 (49%)
Use of health servicesk
 Doctor visits in past year 3.3 ± 0.2
 Preventive-care visits in past year 1.0 ± 0.1
 Sick visits in past year 1.8 ± 0.2
 ED visits in past year 0.9 ± 0.2
 Hospital stays in past year 0.1 ± 0.1
Quality of pediatric care (scale of 1–10, where 10 = best)l
 Rating of overall quality of child’s well-child visit 8.3 ± 2.0
 Rating of child’s PCP 8.9 ± 1.9
 Rating of child’s acute care 8.6 ± 2.1
 Rating of child’s specialty care 8.2 ± 3.5
Parental satisfaction with care
 Doctor never/sometimes takes time to understand child’s specific needs 52 (22%)
 Doctor never/sometimes respects you are expert on your child 37 (16%)
 Doctor never/sometimes asks how you are feeling as parent 97 (41%)
 Doctor never/sometimes understands how you prefer to raise child 68 (29%)
 Doctor did not spend enough time with child 36 (15%)
 Did not ask all questions I wanted to ask 30 (15%)
 Would not recommend child’s healthcare provider to friends 55 (23%)
Parental out-of-pocket costs of pediatric carek
 Out-of-pocket cost per doctor visit $140 ± 35.7
 Out-of-pocket cost per preventive-care visit $46 ± 13.5
 Out-of-pocket cost per sick visit $195 ± 56.1
 Out-of-pocket cost per ED visit $434 ± 125
 Out-of-pocket cost per hospital stay $741 ± 476
Parental reported financial burden
 Need additional income to cover child’s medical expenses 102 (43%)
 Child’s health caused financial problem for family 84 (36%)
 Family cut down on work hours to obtain healthcare for child 51 (22%)
 Caregiver stopped working because of child’s health 24 (10%)
Missed school and work days due to child’s healthk
 Missed school days in past year 3.6 ± 0.4
 Missed work days in past year due to child’s illness 1.6 ± 0.3
 Wage loss in past year due to missed work days $336 ± 77
 Other costs in past year related to taking care of sick child $167 ± 82
  1. aPlus-minus values are means ±SD, except where noted. PCP denotes primary-care provider, and PedsQL™ denotes Pediatric Quality of Life Inventory Version 4.0 Generic Core Scales (scale of 0–100, where 100 is best score)
  2. bBy caregiver report
  3. cAmong the N = 104 who reported needing immediate care from the PCP
  4. dAmong the N = 25 who reported that they needed after-hours telephone help or advice
  5. eAmong the N = 170 who reported that their child needed preventive care
  6. fAmong the N = 129 who reported that their child needed acute care
  7. gAmong the N = 53 who reported that their child needed specialty care
  8. hAmong the N = 192 who reported that their child needed dental care
  9. iAmong the N = 132 who reported that their child needed prescription medications
  10. jAmong the N = 61 who reported that their child needed medical supplies or equipment
  11. kPlus-minus values are means ±SE
  12. lBy caregiver report, using a scale of 0–10, in which 0 = worst possible rating and 10 = best possible rating
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BMC Public Health

ISSN: 1471-2458

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