2012 National Healthcare Quality and Disparities Reports
Data Sources—Health Resources and Services Administration
Health Resources and Services Administration, Maternal and Child Health Bureau (MCHB).
NSCH explores the extent to which children with special health care needs have medical homes, adequate health insurance, access to needed services, and adequate care coordination. Other topics may include functional difficulties, transition services, shared decisionmaking, and satisfaction with care. Interviews were conducted with parents or guardians who know about the child's health. More than 190,000 households throughout the United States that have children are screened to identify approximately 750 children with special health care needs in each State and the District of Columbia.
Survey Sample Design
Like all modules of the State and Local Area Integrated Telephone Survey (SLAITS), NSCH uses the sample frame of the National Immunization Survey (NIS). NIS is a household telephone survey that calls more than 1 million telephone numbers each year to locate a sufficient sample of households that include children in a very narrow age range, 19-35 months. Since most households do not contain children in that age range, most households contacted are not eligible for NIS. SLAITS makes efficient and cost-effective use of this sample frame to field large-scale population-based surveys with a prescreened sample of households.
Primary Survey Content
Topics measured for all children:
- Health and functional status, special health care needs, immunizations.
- Health insurance coverage, adequacy of coverage.
- Health care access and utilization.
- Medical home, referrals, care coordination, family-centered care.
- Family functioning, parent-child relationship, stress.
- Parental health, exercise, smoking.
- Neighborhood and community characteristics, amenities, perceived safety.
Topics measured for age-specific groups:
- Early childhood (ages 0-5): developmental screening, child care, injuries, breastfeeding, and intrafamily social interactions such as reading.
- Middle childhood and adolescence (ages 6-17): school engagement, afterschool activities, sleep and exercise, reading and computing, television, and social behavior.
Noninstitutionalized U.S. children ages 0-17 years.
- Child demographics (age, sex, race/ethnicity, place of birth: in or out of United States).
- Household demographics (income, highest education, primary language, numbers of adults and children).
- Family demographics (family structure, relationships of household members to child, marital status of parents, place of birth of parents).
- Contextual demographics (State, metropolitan status).
2001, 2005-2006, and 2009-2010.
Every 4 years, on an alternating schedule with the National Survey of Children With Special Health Care Needs.
National and State.
Agency home page: http://www.cdc.gov/nchs/.
Data system home page: http://www.cdc.gov/nchs/slaits.htm.
Blumberg SJ, Foster EB, Frasier AM, et al. Design and operation of the National Survey of Children's Health, 2007. Vital Health Stat 2012;1(55). Available at: http://stacks.cdc.gov/view/cdc/11989/.
Blumberg SJ, Olson L, Frankel MR, et al. Design and operation of the National Survey of Children's Health, 2005-6. Vital Health Stat 2008;1(45). Available at: http://www.cdc.gov/nchs/data/series/sr_01/sr01_045.pdf [Plugin Software Help].
Health Resources and Service Administration (HRSA), Bureau of Primacy Health Care (BPHC).
UDS is an integrated reporting system used by all grantees of BPHC's Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care programs. Clinical, operational, and financial data collected are used to monitor and evaluate BPHC programs and to analyze annual trends.
Primary Survey Content
UDS tracks a variety of information, including patient demographics, services provided, staffing, clinical indicators, utilization rates, costs, and revenues. UDS data are collected from grantees and reported at the grantee, State, and national levels.
Patients using HRSA-supported health centers in the United States.
Age, gender, race, ethnicity and language, income.
Data Collection Schedule
Data are reported annually in the first quarter of the year.
National and State.
Agency home page: http://www.hrsa.gov.
Data system home page: http://bphc.hrsa.gov/healthcenterdatastatistics/index.html.
For more details, refer to the UDS description documents available in the datasets and documentation section at: http://bphc.hrsa.gov/healthcenterdatastatistics/reporting/2010manual.pdf [Plugin Software Help].