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
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 |