In 1997, researchers at Medimetrix Group, a consulting firm based in Cleveland, gathered information from focus groups in six cities to help the Robert Wood Johnson Foundation (RWJF) assess the field and obtain a solid base of information on which to develop program options for the estimated 10 to 11 million children who have no health insurance coverage.
- Uninsured children had not been a focus of the community groups, indicating that local stakeholders needed to undertake community-wide education efforts about the causes and impact of the problem before attempting to build coalitions to support programs.
- "Ownership" of the problem could not be allocated to the health care community; instead, a successful solution at the community level must be a collaborative effort among the public, private and community sectors.
- Locally, the problem is seen as lack of coordination for services to at-risk children, rather than lack of access to care.
RWJF supported this project through a grant of $86,303.