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  1. Changing patterns of conditions among children receiving Supplemental Security Income disability benefits.

    Article - En anglais

    Objective 

    To determine the relative growth of types of chronic health conditions among children and adolescents receiving Supplemental Security Income (SSI) benefits before and after major SSI program changes, including changes in definitions of childhood disability and outreach to identify eligible children.

    Design 

    Retrospective analysis of Medicaid claims from California, Georgia.

    Michigan, and Tennessee.

    Participants 

    All children (aged <=21 years) newly enrolled in SSI programs in these states from July 1989 (n=21 222) to June 1992 (n=38 789).

    Methods 

    Medicaid data indicate eligibility status and diagnoses for services rendered.

    For children newly enrolled before (time 1, July 1989 to June 1990), during (time 2, July 1990 to June 1991), and after (time 3, July 1991 to June 1992) the program changes, we used claims for the first 6 months of enrollment to determine rates of chronic conditions in general and rates of asthma, attention-delicit/hyperactivity disorder (ADHD), and mental retardation specifically.

    We also followed up time 1 enrollees during the study period to determine the likelihood of a chronic condition claim at any time.

    Main Outcome Measure 

    Presence of claims for chronic conditions.

    Results 

    New SSI enrollees almost doubled during the study period.

    Increasing numbers of new enrollees had chronic condition claims in their first 6 months (from 29% to 36%) ; 58% of time 1 enrollees had such claims during any study month. (...)

    Mots-clés Pascal : Asthme, Programme sanitaire, Enfant, Homme, Trouble attention, Hyperactivité, Incapacité, Maladie, Chronique, Aide sociale, Arriération mentale, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Système nerveux central pathologie, Système nerveux pathologie, Déficience intellectuelle, Trouble développement

    Mots-clés Pascal anglais : Asthma, Sanitary program, Child, Human, Attentional disorder, Hyperactivity, Disability, Disease, Chronic, Social help, Mental retardation, United States, North America, America, Respiratory disease, Obstructive pulmonary disease, Central nervous system disease, Nervous system diseases, Intellectual deficiency, Developmental disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0109297

    Code Inist : 002B30A03B. Création : 16/11/1999.