Context. - Congress enacted a series of laws beginning in the mid 1980s to expand Medicaid eligibility for children, especially those in poor families.
As a result, Medicaid enrollment of children has nearly doubled over the past decade.
- To assess the effectiveness of Medicaid in improving access to and use of health services by poor children.
- Analysis of cross-sectional survey data from the 1995 National Health Interview Survey.
Poor children with Medicaid were compared to poor children without insurance and nonpoor children with private insurance.
- A total of 29711 children younger than 18 years (3716 poor children with Medicaid, 1329 poor children without insurance, 14 609 nonpoor children with private insurance, and 10 057 children with other combinations of poverty and insurance status) included in a nationally representative stratified probability sample of the US noninstitutionalized population.
- Usual source of care, access to a regular clinician, unmet health needs, and use of physician services.
- Poor children with Medicaid compared to poor children without health insurance experienced superior access across all measured dimensions of health care, including presence of a usual source of care (95.6% vs 73.8%), frequency of unmet health needs (2.1% vs 5.9%), and use of medical services (eg, >=1 physician contact in past year) (83.9% vs 60.7%). (...)
Mots-clés Pascal : Soin intégré, Enfant, Homme, Etude transversale, Aide état, Statut socioéconomique, Critère décision, Etude comparative, Aspect politique, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Managed care, Child, Human, Cross sectional study, Government aid, Socioeconomic status, Decision criterion, Comparative study, Political aspect, United States, North America, America, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0020120
Code Inist : 002B30A03B. Création : 31/05/1999.