Chartbook on Healthy Living

Maternal and Child Health Care

National Healthcare Quality and Disparities Report

Maternal and Child Health Care Measures

  • Access:
    • Periods of uninsurance.
  • Effectiveness:
    • Prenatal care.
    • Receipt of recommended immunizations by young children.
    • Children's vision screening.
    • Well-child visits in the last year.
    • Receipt of meningococcal vaccine by adolescents.
    • Receipt of human papillomavirus (HPV) vaccination by adolescents.
  • Person-Centered Care:
    • Children who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers.
  • Patient Safety:
    • Birth trauma—injury to neonates.
  • Care Coordination:
    • Children and adolescents whose health provider usually asks about prescription medications and treatments from other doctors.
    • Emergency department (ED) visits with a principal diagnosis related to mental health, alcohol, or substance abuse.
    • ED visits for asthma.

Access: Children and Adolescents With Periods of Uninsurance

  • Coverage gaps ("uninsurance") are a significant factor in children's access to and use of care, as well as their health outcomes.1-3
  • Resources through the Children’s Health Insurance Program Reauthorization Act (CHIPRA) are designed to increase Medicaid/CHIP enrollment:
    • Outreach programs.
    • Simplified enrollment strategies.4
  • Coverage gaps are still found for as many as 40% of new CHIP enrollees5 despite changes in State enrollment, renewal, and outreach processes.

Children and adolescents ages 0-17 years with any period of uninsurance during the year, by insurance, 2002-2013, and by race/ethnicity and income, 2012-2013

Charts show children and adolescents ages 0-17 years with any period of uninsurance during the year, by insurance, and by race/ethnicity and income. Text description is below the image.

Left Chart:

Year Total Other Non-Medicaid/CHIP Any Medicaid/CHIP
2002 19.1 8.5 20
2003 18.4 8.1 19.5
2004 17.9 7.8 17.7
2005 17.7 8 19.1
2006 18.2 8 20.2
2007 19.7 8.4 19.6
2008 20.1 9.9 19.4
2009 16.7 7.1 17.1
2010 15.8 6.2 16
2011 15.1 6.3 14.7
2012 14.3 7.2 12.9
2013 14.4 6.7 14.2

Right Chart:

Characteristics 2012 2013
White 11.6 12
Black 15.9 15.7
Hispanic 19.6 20.2
Poor 13.9 15
Low Income 19.3 19.2
Middle Income 17.5 15.3
High Income 6.7 9.2

Key: CHIP = Children's Health Insurance Program.
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2013.
Note: White and Black are non-Hispanic. Hispanic includes all races.

  • Overall: In 2013, the percentage of children and adolescents ages 0-17 with any period of uninsurance during the year was 14.4%.
  • Trends:
    • The overall percentage of children and adolescents ages 0-17 years with any period of uninsurance during the year declined from 19.1% in 2002 to 14.4% in 2013.
    • Among children and adolescents with any Medicaid or CHIP insurance, the percentage with any period of uninsurance during the year declined from 20.0% in 2002 to 14.2% in 2013.
  • Groups With Disparities:
    • In 2012 and 2013, White children were less likely to have a period of uninsurance than Black and Hispanic children.
    • In 2012 and 2013, children in families with high incomes were less likely than children in every other income category to have a period of uninsurance.

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Page last reviewed June 2018
Page originally created April 2016
Internet Citation: Maternal and Child Health Care. Content last reviewed June 2018. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-measures.html
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