Context Although an extensive literature exists comparing national access to health care for uninsured vs insured children, few data exist regarding differences in access across states.
Objective To examine variation in access to physician services for uninsured children in 10 states, the safety net's role in explaining this variation, and the potential effects of the State Children's Health Insurance Program (CHIP) on insurance coverage and access.
Design and Setting The population-based Robert Wood Johnson Foundation Family Health Insurance Survey, conducted between summer 1993 and spring 1994 in 10 states (Colorado, Florida, Minnesota, New Mexico, New York, North Dakota, Oklahoma, Oregon, Vermont, and Washington), with a response rate of families by state ranging from 61% to 83%. Participants A total of 8565 children who were uninsured (1586), covered by Medicaid (2723), or covered by employer-sponsored private insurance (4256) for 1 full year prior to the survey.
Main Outcome Measures Percentage of low-income children who are uninsured and predicted annual physician visits by state if insurance was provided to uninsured children in families with incomes of less than 200% of poverty level.
Results In the 10 study states, low-income children ranged from 61% to 86% of all uninsured children and the uninsured rate for low-income children varied from 9% to 31%. On average, providing public coverage would increase annual physician visits from 2.3 to 4. (...)
Mots-clés Pascal : Consultation, A domicile, Médecin généraliste, Répartition géographique, Etude cohorte, Enquête socioéconomique, Assurance, Filet sécurité, Accès direct, Programme sanitaire, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Consultation, At home, General practitioner, Geographic distribution, Cohort study, Socioeconomic inquiry, Insurance, Safety net, Direct access, Sanitary program, United States, North America, America, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0334784
Code Inist : 002B30A03B. Création : 16/11/1999.