Children's healthcare varies by age, race

August 1, 2002

Pharmaceutical Representative

While most parents report their experiences with children's healthcare are good, variations by age, race/ethnicity and type of insurance coverage still exist.

While most parents report their experiences with children's healthcare are good, variations by age, race/ethnicity and type of insurance coverage still exist, according to a survey from the Rockville, MD-based Agency for Healthcare Research and Quality.

Public or private insurance?

The survey found that 20.4% of parents of publicly insured children and 15.8% of parents of uninsured children reported having a problem receiving necessary care during a doctor's office or clinic visit, compared with 7.9% of parents of privately insured children. They also were more likely to report that the healthcare provider never or only sometimes explained things carefully than were parents of privately insured children.

Other findings include:


•Â Parents of black children were more likely than those of white or Hispanic children to report that their providers always showed respect for what they had to say (75.4% of blacks, 66.9% of whites and 63.7% of Hispanics, respectively).


•Â Parents of black and white children were more likely than those of Hispanic children to report that their providers always explained things in a way they could understand (74.3% of blacks, 69.1% of whites and 62.0% of Hispanics).


•Â Hispanic children were less likely than white or black children to always get appointments for routine care as soon as their parents wanted (45.0% of Hispanic children, 53.7% of white children and 53.8% of black children).


•Â Parents of uninsured children were less likely than those with private coverage to report that their providers always spent enough time with them (49.5% of uninsured children, 54.6% of children with public insurance and 57.5% of children with private coverage).


•Â Uninsured children ages 6 to 17 were much less likely than children that age with public insurance or those with private coverage always to receive care for an illness or injury as soon as their parents wanted (41.9% for uninsured children, 56.1% for publicly insured children and 64.9% for privately insured children).

The data were collected through a survey of parents of a nationally representative sample of 6,500 children under age 18. PR

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