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Survey Items: K4Q20R; K3Q20; K3Q21a; K3Q21b; K3Q22 and Medical Home survey items (A total of 19 different survey questions are used to develop the overall composite score for having a Medical Home. See additional notes and the 2007 Guide for more info.)
Denominator: Children age 0-17 years
Numerator: Children who have adequate insurance (Indicator 3.4), a medical home (Indicator 4.8), and at least one preventive care visit in the past 12 months (Indicator 4.1); Children who failed to meet at least one of the three criteria
Revisions and Changes: This measure is new in 2007.
Additional Notes: In order for children to meet all of the criteria on the Quality of Care Summary Measure, the following conditions must be met: 1) Children are currently insured and that insurance is usually/always adequate to meet child's health needs; 2) Child meets criteria for receiving coordinate, comprehensive, culturally effective care within a medical home; and 3) Child had a least one preventive medical care visit in the past 12 months. Results for the Minimum Quality of Care Index are also included in the "2007 NSCH Child Health and System Performance Profile" featured in National and State Profiles - 2007 Custom Data Profiles on this website. Children who were uninsured at the time of the survey are automatically included in the numerator as NOT meeting the quality index. Adequate insurance only applies to those who are currently insured. This measure was revised in June 2011.
Treatment of Unknown Values: Unknown values (responses coded as 'refused', 'don't know', or system missing) are not included in the denominator when calculating prevalence estimates and weighted population counts displayed in the data query results table. In nearly every case, the proportion of unknown values is less than 1% and the exclusion of these values does not change the prevalence estimates (%) and only marginally affects the weighted population counts (Weighted Est.). Exceptions are noted in the form of a “Data Alert” at the bottom of a results table.
History and Development: The Maternal and Child Health Bureau leads the development of the NSCH survey and indicators, in collaboration with the National Center for Health Statistics (NCHS) and a national technical expert panel. The expert panel includes representatives from other federal agencies, state Title V leaders, family organizations, and child health researchers. Previously validated questions and scales are used when available. Respondents’ cognitive understanding of the survey questions is assessed during the pretest phase and revisions made as required. All final data components are verified by NCHS and DRC/CAHMI staff prior to public release.
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C.I. = 95% Confidence Interval. Percentages and population estimates (Pop.Est.) are weighted to represent child population in US.
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With funding and direction from the Maternal and Child Health Bureau, the National Survey of Children’s Health was conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics. CAHMI is responsible for the analyses, interpretations, presentations and conclusions included on this site.
Suggested citation format: National Survey of Children's Health. NSCH 2007. Data query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved [mm/dd/yy] from www.childhealthdata.org.