The Impact of Insurance Instability on Children's Access, Utilization, and Satisfaction with Health Care

Ambulatory Pediatrics

Volumn 8, Issue 5, 2008, Pages 321-328

  Cassedy, Amy ^a   Fairbrother, Gerry ^a   Newacheck, Paul W ^a  

^a UNIVERSITY OF CINCINNATI   (United States)

Author keywords

access; children; gaps in insurance coverage; health care utilization; insurance; satisfaction; unmet medical needs

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; CHILD HEALTH CARE; CONTROLLED STUDY; CORRELATIONAL STUDY; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH STATUS; HEALTH SURVEY; HUMAN; INFANT; MEDICAL CARE; PHARMACEUTICAL CARE; PRESCRIPTION; PRIVATE HEALTH INSURANCE; PUBLIC HEALTH INSURANCE;

ADOLESCENT; CHILD; CHILD HEALTH SERVICES; CHILD WELFARE; CHILD, PRESCHOOL; CONFIDENCE INTERVALS; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE, HEALTH; LOGISTIC MODELS; MALE; MEDICALLY UNINSURED; MULTIVARIATE ANALYSIS; NEEDS ASSESSMENT; ODDS RATIO; OUTCOME ASSESSMENT (HEALTH CARE); PROBABILITY; RISK FACTORS; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 52249117861     PISSN: 15301567     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ambp.2008.04.007     Document Type: Article

References (21)

1. DeNavas-Walt C, Proctor BD, Lee CH. Income, poverty, and health insurance coverage in the United States: 2005. Current population report, 2006:P60-231. Available at: http://www.census.gov/prod/2005pubs/p60-229.pdf. Accessed February 17, 2007.
2. Davis K. The 2007 State of the Union address: the President's health insurance proposal is not a solution [The Commonwealth Fund Web site]. February 1, 2007. Available at: http://www.commonwealthfund.org/aboutus/aboutus_show.htm?doc_id=448217. Accessed February 17, 2007.
3. Labrew JM. The State Children's Health Insurance Program: past, present, and future [The Commonwealth Fund Web site] January 2007. Available at: http://www.commonwealthfund.org/USr_doc/991_Lambrew_SCHIP_past_present_f uture.pdf. Accessed February 17, 2007.
4. Short P.F., and Graefe D.R. Battery-powered health insurance? Stability in coverage of the uninsured. Health Affairs 22 (2003) 244-255
5. Tang S.S., Olson L.M., and Yudkowsky B.K. Uninsured children: how we count matters. Pediatrics 112 (2003) 168-173
6. Doty MM, Holmgren AL. Unequal access: insurance instability among low-income workers and minorities [The Commonwealth Fund Web site]. April 1, 2004. Available at: http://www.commonwealthfund.org/publications/publications_show.htm?doc_i d=226886. Accessed February 17, 2007.
7. Newacheck P.W., Hung Y.Y., Park M.J., et al. Disparities in adolescent health and health care: does socioeconomic status matter?. Health Serv Res 38 (2003) 1235-1251
8. Dusing S.C., Skinner A.C., and Mayer M.L. Unmet need for therapy services, assistive devices, and related services: data from the National Survey of Children with Special Health Care Needs. Ambul Pediatr 4 (2004) 448-454
9. Huang Z.J., Kogan M.D., Yu S.M., and Strickland B. Delayed or forgone care among children with special health care needs: an analysis of the 2001 National Survey of Children with Special Health Care Needs. Ambul Pediatr 5 (2005) 60-67
10. Jeffrey A.E., and Newacheck P.W. Role of insurance for children with special health care needs: a synthesis of the evidence. Pediatrics 118 (2006) 1027-1038
11. Kane D.J., Zotti M.E., and Rosenberg D. Factors associated with health care access for Mississippi children with special needs. Matern Child Health J 9 suppl (2005) S23-S31
12. Kogan M.D., Newacheck P.W., Honberg L., and Strickland B. Association between underinsurance and access to care among children with special health care needs in the United States. Pediatrics 116 (2005) 1162-1169
13. Mayer M.L., Skinner A.C., and Slifkin R.T. Unmet need for routine and specialty care: data from the National Survey of Children With Special Health Care Needs. Pediatrics 113 2 (2004) e109-e115
14. Duderstadt K.G., Hughes D.C., Soobader M.J., and Newacheck P.W. The impact of public insurance expansions on children's access and use of care. Pediatrics 118 (2006) 1676-1682
15. Olson L.M., Tang S.S., and Newacheck P.W. Children in the United States with discontinuous health insurance coverage. New Engl J Med 353 (2005) 382-391
16. Department of Health & Human Services, AHRQ Agency for Healthcare Research and Quality. Available at: http://www.meps.ahrq.gov/mepsweb/data_stats/download_data/pufs/h89/h89do c.pdf. Accessed June 22, 2006.
17. Brousseau D.C., Hoffman R.G., Nattinger A.B., et al. Quality of primary care and subsequent pediatric emergency department utilization. Pediatrics 119 (2007) 1131-1138
18. Aday L.A., and Andersen R. Development of indices of access to medical care (1975), Health Administration Press, Ann Arbor, Mich
19. Andersen R.M. Revisiting the behavioral model and access to medical care: does it matter?. J Health Soc Behav 36 (1995) 1-10
20. Phillips K.A., Morrison K.R., Andersen R., and Aday L.A. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res 33 (1998) 571-596
21. Maryland Department of Health and Mental Hygiene. Center for Health Program Development and Management. The Maryland current population survey: Medicaid undercount study. July 25, 2005. Available at: http://www.dhmh.state.md.us/mma/pdf/CPSSurvey_Report.pdf. Accessed July 2, 2007.