CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Table B.4. Access and Use Among CHIP and Medicaid Enrollees in Three States (California, Florida, and Texas), 2012


Reports for the Past 12 months CHIP Enrollees Medicaid Enrollees
Access to Care Based on Parent Reports
Had USC or Private Doctor or Nurse During Past 12 Months 87 85
    USC Type: Private Doctor's Office or Group Practice/HMO 44 35**
    USC has Night or Weekend Office Hours 25 25
    Could Reach Doctor at USC After Hours 34 33
Provider Accessibility Based on Parent Reports    
No Trouble Finding a General Doctor 97 97
No Trouble Finding a Specialist 94 94
Usually/Always Easy to Get Appointments with Medical Provider 82 80
Service Use Based on Parent Reports
Any Doctor/Other Health Professional Visit 84 85
Any Preventive Care or Check-up Visit 78 81
Any Specialist Visit 17 16
Any Mental Health Visit 6 8
Any Emergency Department Visit 21 36**
Any Hospital Stays 4 8**
Content of Preventive Care Received Based on Parent Reports
Health and weight measurement 91 92
Vision screening 60 53**
Flu vaccination 49 55**
Anticipatory Guidance On Key Health Topics 33 36
Developmental screening (among children under six) 31 31
Access to and Use of Oral Health Care Based on Parent Reports
Has dental benefits or coverage for dental services 92 88**
Had USC for Dental Care 86 79**
    USC for Dental Care has night or weekend hours 39 39
No Trouble Finding a Dentist 88 84**
Usually/Always Easy to Get Appointments with Dental Provider 73 70
Any Dental Visit for Check-up or Cleaning 82 77**
    Dentist recommended additional or follow up treatment 36 34
        Had dental procedure, such as having a cavity treated or tooth pulled 68 70
Dental sealants (if age > 6 years) 56 53
Patient Centeredness of Health Care Based on Parent Reports
Obtained referrals when needed 71 68
Received effective care coordination 65 64
Received family-centered care 43 39
Unmet Needs Based on Parent Reports
Doctor/health professional care 6 8*
Prescription drugs 7 9*
Specialists 6 7
Hospital care 3 4
Mental Health Care 3 5
Dental Care 13 16**
Any Unmet Need 26 31**
Parental Perceptions of Coverage and Financial Burden of Child’s Health Care
Very or somewhat confident could get needed health care for child 95 95
Never or not very often stressed about meeting child’s health care needs 82 83
No problem paying child’s medical bills for care (or no out-of-pocket costs) 92 95
Out of pocket costs: Greater than $0 up to $250 3 3
Out of pocket costs: Between $250 and $2,000 4 1**
Out of pocket costs: Greater than $2,000 1 0

Source: 2012 Congressionally Mandated Survey of CHIP and Medicaid Enrollees and Disenrollees.

Notes: Anticipatory guidance topics examined include: (1) how to avoid injury, (2) child’s eating habits, (3) child’s exercise habits, and (4) risks of secondary smoke. Receipt of effective care coordination is a composite measure that incorporates assessments of (1) communication between doctors when needed, (2) communication between doctors and schools when needed, and (3) getting help coordinating care when needed. Receipt of family-centered care is a composite measure based on parent reports of whether (1) the child’s provider usually spends enough time with the child, (2) always listens carefully, (3) is sensitive to family values/customs, (4) gives needed information, (5) makes the family feel like a partner, and (6) getting non-family member to interpret conversations with doctors or other health care providers. "No out-of-pocket costs" includes those who indicated out-of-pocket costs but then said they had no problem paying, or later indicated they paid $0 in out-of-pocket costs.

**p-value (of difference) < 0.01; * p-value (of difference) < 0.05 level

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