Definition of Insurance Type
This study sought to specifically compare children with public insurance to those with private insurance. Medicaid was defined as Medicaid alone or dual Medicaid/Medicare coverage. Private insurance was defined as job-based, other directly purchased, or exchange coverage.
Definition of Care Consistent with the Patient-Centered Medical Home
The OMAS survey did not explicitly ask respondents whether their healthcare was delivered through an accredited PCMH model. This study uses the term CC-PCMH which required that respondents meet the following criteria: (1) Has an appropriate, usual source of care such as a doctor’s office; (2) Has a personal care provider (PCP); (3) Has had a visit with their PCP in the past year; (4) PCP communicates effectively with the family; (5) Received necessary urgent care on the same or next day; (6) Received needed after-hours care without any issues; (7) Received needed specialty care without problems.12 …show more content…
An adult proxy answered questions related to the child’s health status, emergency room use, and number of hospitalizations. They were asked about the time their PCP spends with them and whether they explain things well. We assessed access through questions related to sources of care, delayed care, problems getting needed care, days waited for urgent care, ability to get after hours care, and difficulties seeing a specialist. The unmet needs assessed were dental, vision, prescription, and other