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National Healthcare Disparities Report, 2003

Effectiveness of Care: Maternal and Child Health

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Maternity Care
Percent of mothers receiving prenatal care in first trimester.
Percent of liveborn infants with low and very low birthweight (less than 2,500 grams, less than 1,500 grams).
Infant mortality per 1,000 live births
Maternal deaths per 100,000 live births.

Immunization, Childhood
Percent of children 19-35 months who received all recommended vaccines
Percent of children 19-35 months who received 4 doses of DPaT vaccine
Percent of children 19-35 months who received 3 doses of polio vaccine
Percent of children 19-35 months who received 1 dose of MMR vaccine.
Percent of children 19-35 months who received 3 doses of Hib vaccine.
Percent of children 19-35 months who received 3 doses of hepatitis B vaccine
Percent of children 19-35 months who received 1 dose of varicella vaccine.

Immunization, Adolescent
Percent of adolescents (age 13-15) reported to have received 3 or more doses of hepatitis B vaccine.
Percent of adolescents (age 13-15) reported to have received 2 or more doses of MMR vaccine.
Percent of adolescents (age 13-15) reported to have received 1 or more doses of tetanus-diphtheria booster.
Percent of adolescents (age 13-15) reported to have received one or more doses of varicella vaccine.

Childhood Dental Care
Percent of children age 2 -17 who report dental visit in last year

Treatment of Pediatric Gastroenteritis
Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age


Maternity Care

Measure Title

Percent of mothers receiving prenatal care in first trimester.

Measure Source

Healthy People 2010, measure 16-6a.

Tables

Percent of mothers receiving prenatal care in the first trimester, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS), National Vital Statistics System.

Denominator

Number of live births.

Numerator

Number of mothers receiving prenatal care in the first trimester (three months) of pregnancy.

Comments

A description of the primary measurement used to determine the fetus' gestational age 'the interval between the first day of the last normal menstrual period (LMP) and the birth' has been published by the NCHS.

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Maternity Care

Measure Title

Percent of liveborn infants with low and very low birthweight (less than 2,500 grams, less than 1,500 grams).

Measure Source

Healthy People 2010, measure 16-10.

Tables

Percent of liveborn infants with very low birth weight (less than 1,500 grams), United States, 2000, by

  • Race
  • Ethnicity
  • Education

Percent of liveborn infants with low birth weight (less than 2,500 grams), United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

Denominator

Number of live births.

Numerator

Number of live births with birth weight of less than 2,500 grams (5 lbs. 8 oz), or less than 1,500 grams (3 lbs. 3 oz).

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Maternity Care

Measure Title

Infant mortality per 1,000 live births.

Measure Source

Healthy People 2010, measure 16-1c.

Tables

Infant mortality per 1,000 live births, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

Denominator

Resident live births.

Numerator

Number of infant deaths within the first year.

Comments

The baseline data for this objective come from the period-linked birth and infant death data set (linked file). In the linked file, the information from the death certificate is linked to information on the birth certificate for each infant under 1 year who died during the calendar year. The purpose of linkage is to use the many variables and improve racial/ethnic reporting available from the birth certificate.

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Maternity Care

Measure Title

Maternal deaths per 100,000 live births.

Measure Source

Healthy People 2010, measure 16-4.

Tables

Maternal deaths per 100,000 live births, United States, 2000, by

  • Race
  • Ethnicity
  • Education

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

Denominator

Resident live births.

Numerator

Number of female deaths due to obstetric causes (ICD-10 codes O00-O95,O98-O99) within 42 days of a pregnancy.

Comments

Caution should be used when comparing these data with pregnancy-related mortality rates from other reports. NCHS uses the definition of maternal mortality and related coding conventions recommended in the ICD-9 by the World Health Organization. Other definitions may use different time intervals from pregnancy to death and may be more inclusive with regard to cause of death.

A description of the maternal mortality measurement has been published by NCHS.

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Immunization, Childhood

Measure Title

Percent of children 19-35 months who received all recommended vaccines.

Measure Source

Healthy People 2010, measure 14-24a.

Tables

Percent of children age 19-35 months who received all recommended vaccines, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: Children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least four doses of diphtheria-tetanus-acellular pertussis (DTaP), at least three doses of polio, at least one dose of measles-mumps-rubella (MMR), at least three doses of Haemophilus influenzae B (Hib), and at least three doses of hepatitis B antigens.

Comments

This objective is one of the measures used to track the Immunization Leading Health Indicator.

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Immunization, Childhood

Measure Title

Percent of children 19-35 months who received 4 doses of DPaT vaccine.

Measure Source

Healthy People 2010, measure 14-22a.

Tables

Percent of children age 19-35 months who received 4 doses of DPaT vaccine, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least four or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens.

Comments

Statistical adjustments are made to minimize bias due to (1) lower coverage among children living in households without telephones, (2) discrepancies between vaccinations reported by household compared with immunization providers, and (3) differences in race/ethnic population distribution in sample compared to race/ethnic population distribution at birth.

This baseline measure tracks the number of children, age 19 to 35 months, receiving four or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens (DTaP) as well as those children who received the combination of diphtheria, tetanus, and pertussis antigens (DTP).

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Immunization, Childhood

Measure Title

Percent of children 19-35 months who received 3 doses of polio vaccine.

Measure Source

Healthy People 2010, measure 14-22e.

Tables

Percent of children age 19-35 months who received 3 doses of polio vaccine, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: Children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least three doses of the polio antigen.

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Immunization, Childhood

Percent of children 19-35 months who received 1 dose of MMR vaccine.

Measure Source

Healthy People 2010, measure 14-22d.

Tables

Percent of children age 19-35 months who received 1 dose of MMR vaccine, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least one dose of the combination of measles, mumps, and rubella antigens.

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Immunization, Childhood

Measure Title

Percent of children 19-35 months who received 3 doses of Hib vaccine.

Measure Source

Healthy People 2010, measure 14-22b.

Tables

Percent of children age 19-35 months who received 3 doses of Hib vaccine, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least three doses of the Haemophilus influenzae B antigen.

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Immunization, Childhood

Measure Title

Percent of children 19-35 months who received 3 doses of hepatitis B vaccine.

Measure Source

Healthy People 2010, measure 14-22c.

Tables

Percent of children age 19-35 months who received 3 doses of hepatitis B vaccine, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least three doses of the hepatitis B antigen.

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Immunization, Childhood

Measure Title

Percent of children 19-35 months who received 1 dose of varicella vaccine.

Measure Source

Healthy People 2010, measure 14-22f.

Tables

Percent of children age 19-35 months who received 1 dose of varicella vaccine, United States, 2001, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics and National Immunization Program, National Immunization Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 19 to 35 months.

Numerator

Number of children, age 19 to 35 months, receiving at least one dose of the varicella antigen.

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Immunization, Adolescent

Measure Title

Percent of adolescents (age 13-15) reported to have received 3 or more doses of hepatitis B vaccine.

Measure Source

Healthy People 2010, measure 14-27a.

Tables

Percent of adolescents (age 13-15) reported to have received 3 or more doses of hepatitis B vaccine, United States, 2000, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 13 to 15.

Numerator

Number of adolescents, age 13 to 15, reported to be vaccinated with three or more doses of the hepatitis B antigens.

Comments

This objective tracks selected vaccines (two or more doses of MMR, three or more doses of hepatitis B, one or more doses of varicella if indicated, and one or more doses of tetanus-diphtheria booster) among adolescents, age 13 to 15.

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Immunization, Adolescent

Measure Title

Percent of adolescents (age 13-15) reported to have received 2 or more doses of MMR vaccine.

Measure Source

Healthy People 2010, measure 14-27b.

Tables

Percent of adolescents (age 13-15) reported to have received 2 or more doses of MMR vaccine, United States, 2000, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 13 to 15.

Numerator

Number of adolescents, age 13 to 15, reported to be vaccinated with three or more doses of the hepatitis B antigens.

Comments

This objective tracks selected vaccines (two or more doses of MMR, three or more doses of hepatitis B, one or more doses of varicella if indicated, and one or more doses of tetanus-diphtheria booster) among adolescents, age 13 to 15.

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Immunization, Adolescent

Measure Title

Percent of adolescents (age 13-15) reported to have received 1 or more doses of tetanus-diphtheria booster.

Measure Source

Healthy People 2010, measure 14-27c.

Tables

Percent of adolescents (age 13-15) reported to have received 1 or more doses of tetanus-diphtheria booster, United States, 2000, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 13 to 15.

Numerator

Number of adolescents, age 13 to 15, reported to be vaccinated with two or more doses of the tetanus and diphtheria antigens.

Comments

This objective tracks selected vaccines (two or more doses of MMR, three or more doses of hepatitis B, one or more doses of varicella if indicated, and one or more doses of tetanus-diphtheria booster) among adolescents, age 13 to 15.

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Immunization, Adolescent

Measure Title

Percent of adolescents (age 13-15) reported to have received one or more doses of varicella vaccine.

Measure Source

Healthy People 2010, measure 14-27d.

Tables

Percent of adolescents (age 13-15) reported to have received 1 or more doses of varicella vaccine, United States, 2000, by

  • Race
  • Ethnicity
  • Income

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Health Interview Survey.

Denominator

U.S. civilian, noninstitutionalized, population: children, age 13 to 15, excluding those who are reported to ever have had varicella (chicken pox).

Numerator

Number of adolescents, age 13 to 15, reported to be vaccinated with two or more doses of the varicella antigen, excluding those who are reported to ever have had varicella (chicken pox).

Comments

This objective tracks selected vaccines (two or more doses of MMR, three or more doses of hepatitis B, one or more doses of varicella if indicated, and one or more doses of tetanus-diphtheria booster) among adolescents, age 13 to 15.


Childhood Dental Care

Measure Title

Percent of children age 2 -17 who report dental visit in last year.

Measure Source

Healthy People 2010, measure 21-10.

Tables

Percent of children age 2 -17 with a dental visit in the past year, United States, 1999, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey.

Denominator

U.S. population (civilian, non-institutionalized): children, age 2 -17.

Numerator

Number of children, age 2 -17, who had a dental visit in the past 12 months or for whom is reported a dental visit in the past 12 months.

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Treatment of Pediatric Gastroenteritis

Measure Title

Hospital admissions for pediatric gastroenteritis per 100,000 population less than 18 years of age.

Measure Source

AHRQ Prevention Quality Indicators.

Tables

Pediatric gastroenteritis admissions (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population age less than 18 years, 2000, by

  • Race

Data Source

Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, State Inpatient Databases, 16-State database.

Denominator

Population in the 16 States, children under age 18.

Numerator

Pediatric non-maternal/non-neonatal discharges under age 18 with a principal diagnosis for gastroenteritis, excluding transfers from other institutions.

Comments

Rates are adjusted by age and sex, using the year 2000 population age 18 and over in the 16 States as the standard population.

The 16 States are Arizona, California, Connecticut, Florida, Georgia, Kansas, Massachusetts, Maryland, Missouri, New Jersey, New York, South Carolina, Tennessee, Texas, Virginia, and Wisconsin.

This table was created using version 2.1 of the AHRQ Prevention Quality Indicators software. This measure is referred to as indicator 6 in the AHRQ Prevention Quality Indicators software documentation.


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2003 National Healthcare Disparities Report

 

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