Table 2.
Observed (Weighted) Prevalence of Medical Home, Adequate Insurance, and Early and Continuous Screening Quality Indicators among Children with Autism Spectrum Disorders (ASD)
| EPL household | NEPL household | Chi-squarep-value | |||
|---|---|---|---|---|---|
| N=3840 | N=138 | ||||
| % | SE | % | SE | ||
| Medical home quality indicator | |||||
| Met medical home criteria | 24.0 | 1.11 | 16.6 | 4.80 | 0.31 |
| 1. Do not have usual sources for sick and well care | 11.3 | 0.99 | 10.9 | 3.34 | 0.91 |
| 2. Do not have personal doctor or nurse | 6.6 | 0.67 | 2.4 | 1.59 | 0.11 |
| 3. Encounter problems getting needed referrals | 11.2 | 0.85 | 2.1 | 0.75 | <0.01 |
| 4. Do not meet 1 or more needed elements of care coordination | 59.1 | 1.38 | 54.5 | 6.49 | 0.67 |
| Providers do not spend enough time | 30.8 | 1.33 | 30.8 | 6.27 | 0.34 |
| Providers do not listened carefully | 20.4 | 1.39 | 17.7 | 4.24 | 0.21 |
| Providers are not sensitive to family values and customs | 16.6 | 1.13 | 25.6 | 7.15 | 0.09 |
| Providers do not provide the needed information | 30.9 | 1.41 | 28.5 | 6.00 | 0.30 |
| Providers do not help you feel like a partner in child’s health care | 21.8 | 1.37 | 15.5 | 4.73 | 0.14 |
| 5. Does not have family-centered care | 49.6 | 1.43 | 50.9 | 8.01 | 0.41 |
| Families need help in coordinating health care but did not receive | 32.5 | 1.44 | 23.2 | 4.75 | 0.28 |
| Family dissatisfied with health care provider communication with other clinicians | 47.5 | 1.44 | 42.3 | 6.58 | 0.68 |
| Family dissatisfied with provider communication with child care, education and vocational programs | 32.2 | 1.34 | 32.1 | 6.00 | 0.67 |
| Adequate insurance quality indicator | |||||
| Met adequate insurance criteria | 49.7 | 1.42 | 48.5 | 7.98 | 0.82 |
| Has insurance | 97.5 | 0.35 | 96.0 | 1.93 | 0.33 |
| No gaps in insurance | 92.0 | 0.75 | 91.2 | 2.93 | 0.07 |
| Health insurance benefits meet child needs | 73.0 | 1.26 | 73.7 | 7.13 | 0.92 |
| Non-covered insurance charges reasonable | 59.8 | 1.38 | 64.9 | 6.58 | 0.46 |
| Insurance allows child to see needed providers | 76.9 | 1.15 | 82.5 | 4.30 | 0.25 |
| Early and continuous screening quality indicator | |||||
| Met early and continuous screening criteria | 78.8 | 1.16 | 74.9 | 5.79 | 0.49 |
| Receipt of routine preventive medical care | 90.2 | 0.80 | 91.2 | 2.92 | 0.76 |
| Receipt of preventive dental care | 85.9 | 1.01 | 80.6 | 5.26 | 0.27 |
Source: The 2009-2010 National Survey of Children with Special Health Care Needs. EPL = English as the primary language; NEPL = Non-English primary language