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Survey Items: K5Q10; K5Q11
Denominator: Children age 0-17 years
Numerator: Did not need referrals; needed referrals and did not have a problem getting them; needed referrals and had problems getting them
Revisions and Changes: This content is new in 2007.
Additional Notes: Indicator 4.9c, problems getting needed referrals, is a Medical Home component measure based on K5Q10 - needed or received referral to doctors or health services during the past 12 months. Those who needed referrals (K5Q10=Yes) are coded according to whether they had problems getting them (response of “Small problem” or “Big problem”) or not - K5Q11. Children whose response on K5Q10 is “No” are coded as not needing referrals. Indicator 4.9c includes a category for children who did not need referrals. Setting this category to missing results in a variable with the same numerator values, but includes in the denominator only children who needed referrals during the past 12 months (please see norefprb_07).
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.
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.