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This study assesses health problems and quality of care among US children, with a focus on insurance disparities and health care access.

May 1, 2011Academic PediatricsOpen Access

A National and State Profile of Leading Health Problems and Health Care Quality for US Children: Key Insurance Disparities and Across-State Variations

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National profile reveals health care quality disparities by insurance type and state among US children, indicating urgent policy needs.

This study assesses health problems and quality of care among US children, with a focus on insurance disparities and health care access.
Evaluated data from the 2007 National Survey of Children's Health (N = 91,642) targeting children aged 0-17 years.
Utilized multivariate logistic regression and standardized statistical tests to examine variations across demographics and insurance types.
Analyzed prevalence of chronic health conditions, special health care needs, and quality of care metrics.
Approximately 43% of US children have at least one chronic health condition, rising to 54.1% when accounting for developmental risks.
Publicly insured children exhibited greater health problem prevalence compared to privately insured children, with a 1.6 point increase in special health care needs since 2003.
A 22.2 point difference in quality of care scores was noted across states, with disparities also by race/ethnicity and income among publicly insured children.

Bethell et al. (2011) studied this question.

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