Children and Adolescents’ Access to Primary Care Practitioners (CAP)

Assess children and young adults 12 months-19 years of age who had a visit with a primary care practitioner (PCP). The measure reports on four separate percentages:

  • Children 12-24 months who had a visit with a PCP during the measurement year.
  • Children 25 months-6 years who had a visit with a PCP during the measure year.
  • Children 7-11 years who had a visit with a PCP during the measure year or the year prior to the measurement year.
  • Adolescents 12-19 years who had a visit with a PCP during the measurement year or the year prior to the measurement year.

Why It Matters

Access to primary care is important for the health and well-being of children and adolescents. High-quality primary care services have been found to significantly reduce children’s non-urgent ER visits.1 A consistent source of primary care can fill the need for screening, appropriate treatment and preventative services for children and adolescents.

Results

Access to Primary Care Children 12-24 Months

YearCommerical HMOCommercial PPOMedicaid HMO
201898.097.594.8
201797.897.594.6
201697.997.694.8
201597.997.494.7
201497.897.395.5
201398.097.396.1
201297.997.096.0
201197.997.296.0
201097.596.996.1
200997.596.295.2
200896.795.495.0
200796.993.793.4
200697.094.294.1
200597.095.092.6
200496.8-92.3
200396.3-92.4
200295.7-91.1
200195.2-90.7
200092.5--
199991.2--

Access to Primary Care Children 25 Months - 6 Years

YearCommerical HMOCommercial PPOMedicaid HMO
201892.591.186.3
201792.090.986.6
201692.090.987.1
201592.190.587.2
201491.990.187.8
201391.990.187.8
201291.690.188.3
201191.990.388.2
201091.289.188.3
200991.689.188.3
200889.787.487.2
200789.486.384.3
200689.386.384.9
200589.385.783.1
200488.1-81.9
200388.5-82.1
200287.2-80.0
200185.7-79.3
200082.4--
199981.3--

Access to Primary Care Children 7 -11 Years

YearCommerical HMOCommercial PPOMedicaid HMO
201893.291.690.0
201792.791.490.0
201692.591.289.9
201592.690.890.2
201492.490.391.0
201392.590.490.0
201292.290.589.9
201191.990.189.5
201091.689.490.2
200991.489.090.3
200889.987.487.8
200789.586.885.9
200689.285.785.9
200588.683.483.4
200488.5-82.5
200388.5-82.1
200287.4-80.3
200185.8-79.3
200083.6--
199982.6--

Access to Primary Care Adolescents 12-19 Years

YearCommerical HMOCommercial PPOMedicaid HMO
201891.089.388.8
201790.489.188.6
201690.388.988.5
201590.388.188.6
201490.087.689.3
201389.987.788.5
201289.787.688.4
201189.387.387.9
201089.286.888.1
200989.086.187.9
200887.384.285.3
200786.983.482.7
200686.682.383.2
200586.179.880.9
200485.5-79.3
200385.8-79.6

References

  1. Bloom, B., R.A. Cohen, G Freeman. 2012. “Summary health statistics for U.S. children: National Health Interview Survey, 2011.” National Center for Health Statistics. Vital Health Statistics 10(254). http://www.cdc.gov/nchs/data/series/sr_10/sr10_254.pdf

  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.