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Table 11 Family Voices Survey on Managed Care Unmet Needs by Type of Health Plan

Table 11
Family Voices Survey on Managed Care
Unmet Needs by Type of Health Plan
(N=204)*

Type of Health Service Percent of Respondents within each Type of Health Plan Indicating
"Not Satisfied or "Needed, Not Available"
Medical and Specialty Services HMO PPO Not in Managed Care
n % n % n %
1. Appropriate routine, well-child care 4 5.3 9 11.7 6 20.0
2. A primary care provider with knowledge of my child's special needs 16 21.1 17 21.8 4 12.5
3. Appropriate pediatric specialty care providers 15 20.0 8 10.4 3 10.0
4. Appropriate pediatric in-patient hospital services 5 8.9 2 3.9 0 0.0
5. Specialized dental care or orthodontic services 27 52.9 16 29.6 4 22.2
6. Physical therapy services 23 45.1 12 20.7 9 33.3
7. Occupational therapy services 27 56.3 20 33.9 8 32.0
8. Speech therapy services 37 56.1 24 35.3 10 34.5
9. Nutritional counseling 16 45.7 20 50.0 5 33.3
10. Psychological testing 15 48.4 17 47.2 7 38.9
11. X-ray and radiology services 2 3.6 0 0.0 2 9.1
12. Laboratory services 4 6.4 2 3.2 3 10.7
13. Genetic counseling services 8 22.2 5 21.7 3 23.1
14. Emergency room services 6 10.2 2 3.7 2 8.3
Mental Health Services HMO % HMO % HMO %
1. Counseling for child 15 60.0 13 54.2 8 88.9
2. Counseling for family members 28 65.1 17 46.0 9 81.8
3. Family support groups 30 71.4 22 51.2 6 54.6
4. Out-patient diagnostic services 8 40.0 7 31.8 2 25.0
5. In-patient psychiatric care 5 62.5 7 63.6 3 75.0
Other Health Services HMO % HMO % HMO %
1. Prescription medications 3 4.0 3 4.0 2 6.7
2. Durable medical equipment 8 23.5 6 15.4 3 17.7
3. Adaptive equipment 21 60.0 18 39.1 5 33.3
4. Disposable medical supplies 8 30.8 10 34.5 0 0.0
5. Nutritional products or special diets 14 58.3 14 50.0 3 30.0
6. Home nursing services 11 50.0 6 30.0 1 14.3
7. Personal care attendant services (PCA) 11 68.8 11 55.0 0 0.0
8. Hospice services 3 50.0 3 42.9 0 0.0

Y Unmet Need refers to those respondents who indicated they were either "Not satisfied" with the service or that the service was "Needed, but not available"

* N = the number of respondents who identified a given type of health plan for their child and indicated their child needed or used a particular service. Respondents who indicated that their child is covered by more than one type of health plan or by a health plan categorized as "Other" were not included in the analysis for this table.