Chartbook on Healthy Living
Maternal and Child Health Care: Person-Centered Care
- Person-centered care has taken a major place in quality measurement and improvement in the United States and elsewhere.18-21
- Good communication and demonstrations of respect are two critical aspects of person-centered care.22,23
Children Whose Parents Reported Poor Communication With Health Providers
Children who had a doctor's office or clinic visit in the last 12 months whose parents reported poor communication with health providers, by race/ethnicity and insurance status, 2002-2012
Left Chart:
| Year | Total | Hispanic | Black | White |
|---|---|---|---|---|
| 2002 | 6.7 | 10.2 | 7.1 | 5.6 |
| 2003 | 6.1 | 8.4 | 7.5 | 4.8 |
| 2004 | 5.7 | 7.9 | 6.3 | 4.8 |
| 2005 | 5.5 | 8.8 | 5.7 | 4.4 |
| 2006 | 4.8 | 7 | 4.8 | 4.2 |
| 2007 | 4.9 | 6.8 | 5.1 | 4.2 |
| 2008 | 4.4 | 5.8 | 4 | 4 |
| 2009 | 4.9 | 7.4 | 5.1 | 3.6 |
| 2010 | 4 | 5.9 | 4.3 | 3.1 |
| 2011 | 3.8 | 5.1 | 5.2 | 2.7 |
| 2012 | 3.7 | 4.8 | 4.1 | 3.3 |
Right Chart:
| Year | Any Private | Public Only | Uninsured |
|---|---|---|---|
| 2002 | 5.3 | 10.6 | 7.3 |
| 2003 | 4.7 | 9.4 | 6.4 |
| 2004 | 4.1 | 8.8 | 9.5 |
| 2005 | 4 | 8.6 | 7.2 |
| 2006 | 3.5 | 7.7 | 5.7 |
| 2007 | 4 | 6.5 | 7.2 |
| 2008 | 3.3 | 6.5 | 6.3 |
| 2009 | 3.6 | 7.5 | 4.4 |
| 2010 | 2.4 | 6.6 | 5.6 |
| 2011 | 2.5 | 6 | 3.2 |
| 2012 | 2.3 | 5.9 | 4.5 |
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2012.
Note: White and Black are non-Hispanic. Hispanic includes all races.
Measure Definition: Among children 0-17 years of age who had a doctor's office or clinic visit in the last 12 months, this measure reports the percentage who reported poor communication with health providers. Poor communication is defined as reporting that their health provider sometimes or never: listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them. Parents refers to parents or guardians.
- Overall Rate: In 2012, 3.7% of parents reported poor communication with their children's health provider.
- Trends:
- From 2002 to 2012, the percentage of children whose parents reported poor communication with their health providers decreased from 6.7% to 3.7%.
- Between 2002 and 2012, the percentage of children whose parents reported poor communication decreased for all racial/ethnic groups.
- The percentage of publicly insured children whose parents reported poor communication decreased 4.7%, from 10.6% in 2002 to 5.9% in 2012.
- There were no statistically significant changes in the percentage of uninsured children whose parents reported poor communication.
- Groups With Disparities:
- In 2012, there were no statistically significant differences between White children (3.3%) and Black children (4.1%) or between Black children (4.1%) and Hispanic children (4.8%) in the percentage with poor communication with their health providers. However, the percentage reporting poor communication with health providers was higher for Hispanic children (4.8%) than for White children (3.3%).
- A gap remained between privately insured and publicly insured children on this measure. In 2012, 2.3% of parents of privately insured children reported poor communication compared with 5.9% of parents of publicly insured children.
Page originally created September 2015
The information on this page is archived and provided for reference purposes only.
5600 Fishers Lane Rockville, MD 20857