Survey Results

Variable Name: Section 5: K5Q22

Survey Items: K5Q22

Denominator: Children age 0-17 years who needed extra help with care coordination and 2 or more services in the past 12 months

Numerator: Never got the help they wanted; Sometimes got all of the help they wanted; Usually got all of the help they wanted

Revisions and Changes: Question K5Q22 was newly asked in the 2007 survey; not asked in 2003

Additional Notes: The American Academy of Pediatrics' description of a "medical home" lists seven defining components: accessible, continuous, comprehensive, family-centered, coordinated and compassionate. Ideally, these seven components are delivered by doctor or other health professional who knows the child well. Five of the 7 components of medical home and the presence of a personal doctor or nurse are assessed by the National Survey of Children's Health. The overall medical home measure is a composite score derived from five different subparts based on 19 different survey items. To qualify as having a medical home, a child must have a personal doctor or nurse and meet the criteria for adequate care on every needed component. For additional details on medical home, including SAS and SPSS scoring programs, please email: cahmi@ohsu.edu.

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 way medical home was measured and scored in the NSCH 2007 is comparable with how it was measured and scored in the 2005/2006 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.