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
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 97.9 97.6 94.8 -- --
2015 97.9 97.4 94.7 -- --
2014 97.8 97.3 95.5 -- --
2013 98.0 97.3 96.1 -- --
2012 97.9 97.0 96.0 -- --
2011 97.9 97.2 96.0 -- --
2010 97.5 96.9 96.1 -- --
2009 97.5 96.2 95.2 -- --
2008 96.7 95.4 95.0 -- --
2007 96.9 93.7 93.4 -- --
2006 97.0 94.2 94.1 -- --
2005 97.0 95.0 92.6 -- --
2004 96.8 -- 92.3 -- --
2003 96.3 -- 92.4 -- --
2002 95.7 -- 91.1 -- --
2001 95.2 -- 90.7 -- --
2000 92.5 -- -- -- --
1999 91.2 -- -- -- --
ACCESS TO PRIMARY CARE CHILDREN 25 MONTHS—6 YEARS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 92.0 90.9 87.1 -- --
2015 92.1 90.5 87.2 -- --
2014 91.9 90.1 87.8 -- --
2013 91.9 90.1 87.8 -- --
2012 91.6 90.1 88.3 -- --
2011 91.9 90.3 88.2 -- --
2010 91.2 89.1 88.3 -- --
2009 91.6 89.1 88.3 -- --
2008 89.7 87.4 87.2 -- --
2007 89.4 86.3 84.3 -- --
2006 89.3 86.3 84.9 -- --
2005 89.3 85.7 83.1 -- --
2004 88.1 -- 81.9 -- --
2003 88.5 -- 82.1 -- --
2002 87.2 -- 80.0 -- --
2001 85.7 -- 79.3 -- --
2000 82.4 -- -- -- --
1999 81.3 -- -- -- --
ACCESS TO PRIMARY CARE CHILDREN 7—11 YEARS
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 92.5 91.2 89.9 -- --
2015 92.6 90.8 90.2 -- --
2014 92.4 90.3 91.0 -- --
2013 92.5 90.4 90.0 -- --
2012 92.2 90.5 89.9 -- --
2011 91.9 90.1 89.5 -- --
2010 91.6 89.4 90.2 -- --
2009 91.4 89.0 90.3 -- --
2008 89.9 87.4 87.8 -- --
2007 89.5 86.8 85.9 -- --
2006 89.2 85.7 85.9 -- --
2005 88.6 83.4 83.4 -- --
2004 88.5 -- 82.5 -- --
2003 88.5 -- 82.1 -- --
2002 87.4 -- 80.3 -- --
2001 85.8 -- 79.3 -- --
2000 83.6 -- -- -- --
1999 82.6 -- -- -- --
ACCESS TO PRIMARY CARE ADOLESCENTS 12—19 YEARS 
Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 90.3 88.9 88.5 -- --
2015 90.3 88.1 88.6 -- --
2014 90.0 87.6 89.3 -- --
2013 89.9 87.7 88.5 -- --
2012 89.7 87.6 88.4 -- --
2011 89.3 87.3 87.9 -- --
2010 89.2 86.8 88.1 -- --
2009 89.0 86.1 87.9 -- --
2008 87.3 84.2 85.3 -- --
2007 86.9 83.4 82.7 -- --
2006 86.6 82.3 83.2 -- --
2005 86.1 79.8 80.9 -- --
2004 85.5 -- 79.3 -- --
2003 85.8 -- 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

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