Research Article

Disparities in the Clinical Encounter: Virginia's African American Children with Special Health Care Needs

Table 6

African American differences on individual survey items.

Outcome/itemOdds ratioP95% CI

(1) (a) Providers usually or always make the family feel like a partner.360.001.19–.67
  (b) Family is very satisfied with services received.68NS

(2) (a) The child has a usual source for sick care.170.000.07–.45
  (b) The child has a usual source for preventive care.130.001.04–.45
  (c) The child has a personal doctor or nurse.150.000.06–.34
  (d) The child has no problems obtaining referrals when needed1.38NS
  (e) The child receives effective care coordination
  (i) Family is very satisfied with doctors’ communication with each other.87NS
  (ii) Family is very satisfied with doctors’ communication with other programs1.02NS
  (iii) Family usually or always gets sufficient help coordinating care, if needed.85NS
  (f) The child receives family-centered care
  (i) Providers usually or always spend enough time.360.000.21–.62
  (ii) Providers usually or always listen carefully.360.001.19–.66
  (iii) Providers are usually or always sensitive to values and customs.260.00014–.47
  (iv) Providers usually or always provide needed information.66NS
  (v) Providers usually or always make the family feel like a partner.360.001.19–.67
  (vi) An interpreter is usually or always available when neededUnable to calculate

(3) (a) The child has public or private insurance at time of interview.36NS
  (b) The child has no gaps in coverage during the year before the interview.350.008.16–.76
  (c) Insurance usually or always meets the child’s needs.390.006.20–.76
  (d) Costs not covered by insurance are usually or always reasonable.79NS
  (e) Insurance usually or always permits child to see needed providers.54NS