Use of health services by African-American children with asthma on medicaid.
- To determine whether African-American children with asthma use more emergency department (ED) and inpatient medical services and fewer preventive services than white children with similar insurance coverage and family income.
- Historical cohort study using Medicaid claims data.
Aid to Families With Dependent Children enrollees aged 3 through 17 years in the Seattle-Tacoma, Wash, metropolitan area.
- All 576 African-American children and 1369 white children receiving services for asthma between June 1988 and December 1992.
Main Outcome Measures
- Utilization of asthma services (ED, inpatient, office visits, and pharmacy) and well-child services and associated Medicaid reimbursements.
- Higher use of ED and inpatient services for asthma among African-American children using Medicaid (compared with white children) cannot be fully explained by poverty or inadequate health insurance.
Furthermore, these children appear to make disproportionately few office visits for asthma, suggesting suboptimal use of preventive services for asthma.
In contrast, the comparable use of well-child visits in the two groups suggests the problem may not be in access to care in general, but there may be specific problems in the successful management of chronic diseases such as asthma among African-American children.
Mots-clés Pascal : Asthme, Soin santé primaire, Utilisation, Urgence, Epidémiologie, Enfant, Homme, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Primary health care, Use, Emergency, Epidemiology, Child, Human, North America, America, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0500071
Code Inist : 002B11B. Création : 01/03/1996.