Harvard Center Reports On Children's Health Care Delivery

Researchers from the Harvard Center for Children's Health, collaborating with the US Agency for Healthcare Research and Quality, have taken a comprehensive look at health delivery to US children. The results, recently published, represent the first update of this type of data in over a decade.

Marie McCormick, Sumner and Esther Feldberg professor of maternal and child health and director of the Harvard Center for Children's Health, was lead author of the report. Major findings include:

  • Asthma is the diagnosis for 41.5 percent of hospitalizations for children aged 1 to 4
  • Pregnancy and delivery account for 30.1 percent of hospitalizations for children aged 15 to 17
  • Hispanic children were the ethnic group most likely to be uninsured (21.2 percent)
  • Fewer than half of all children and adolescents had a dental care visit in 1996

    The report, which was published in a special supplement of Pediatrics on January 10, entitled the Journal of the Ambulatory Pediatric Care Association, is the first in a series of annual reports on how children and youth receive health care in the US. According to McCormick, the reports are intended "to provide timely information in this era of rapid changes in the health care system. We hope that this series of reports will stimulate new research using these data to understand the situation facing children, a situation that differs in many ways from that of adults.

    "We also hope that these reports will serve as a basis for advocacy to improve access to health care for children," she added.

    Copies of the Annual Report on Access to and Utilization of Health Care for Children and Youth in the United States 1999 are available without charge from the AHRQ Publications Clearinghouse, P.O. Box 8547, Silver Spring, MD, 20907; tel: 800-358-9295, and from the AHRQ InstantFax at 301-594-2800.

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