Impact of the State Children's Health Insurance Program on adolescents in New York.
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| Title: | Impact of the State Children's Health Insurance Program on adolescents in New York. |
|---|---|
| Authors: | Klein JD (AUTHOR), Shone LP (AUTHOR), Szilagyi PG (AUTHOR), Bajorska A (AUTHOR), Wilson K (AUTHOR), Dick AW (AUTHOR) |
| Source: | Pediatrics. Apr2007, Vol. 119 Issue 4, pe885-92. 1p. |
| Abstract: | OBJECTIVES: Adolescents face financial and nonfinancial barriers to health care. Little is known about the impact of health insurance on health care for adolescents. We assessed the impact of New York's State Children's Health Insurance Program on access, use, and quality of care for adolescents. METHODS: Adolescents and their parents from a stratified random sample of new enrollees in New York's State Children's Health Insurance Program were interviewed by telephone shortly after enrollment (baseline, n = 1118 adolescents and their parents) and 1 year later (follow-up, n = 970). Outcome measures included access (having a usual source of care and reported unmet health needs), use (preventive care and other types of visits), and quality (satisfaction with care, receipt of confidential care and preventive counseling). Outcomes were assessed at baseline (year before the State Children's Health Insurance Program) versus follow-up (year during the State Children's Health Insurance Program). RESULTS: The proportion of adolescents who reported having a usual source of care increased during State Children's Health Insurance Program compared with before (69.9% to 87.1%). The proportion with any unmet health care need (54.3% to 42.1%) or with unmet need for preventive care (53.8% to 40.6%) decreased, with elimination of racial disparities that existed before the State Children's Health Insurance Program. After enrollment in the State Children's Health Insurance Program, more adolescents reported having had a preventive care visit (65.9% to 74.2%); emergency department use did not change. No differences in satisfaction were noted, although significant increases were noted in both parent- and adolescent-reported rates of having received confidential care and preventive counseling. CONCLUSIONS: Adolescents who enrolled in New York's State Children's Health Insurance Program experienced improved access, use, and quality of care. These findings suggest that the provision of health insurance can help to improve health care for adolescents. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106299308 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Impact of the State Children's Health Insurance Program on adolescents in New York. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Klein+JD%22">Klein JD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shone+LP%22">Shone LP</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Szilagyi+PG%22">Szilagyi PG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bajorska+A%22">Bajorska A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson+K%22">Wilson K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dick+AW%22">Dick AW</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Apr2007, Vol. 119 Issue 4, pe885-92. 1p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVES: Adolescents face financial and nonfinancial barriers to health care. Little is known about the impact of health insurance on health care for adolescents. We assessed the impact of New York's State Children's Health Insurance Program on access, use, and quality of care for adolescents. METHODS: Adolescents and their parents from a stratified random sample of new enrollees in New York's State Children's Health Insurance Program were interviewed by telephone shortly after enrollment (baseline, n = 1118 adolescents and their parents) and 1 year later (follow-up, n = 970). Outcome measures included access (having a usual source of care and reported unmet health needs), use (preventive care and other types of visits), and quality (satisfaction with care, receipt of confidential care and preventive counseling). Outcomes were assessed at baseline (year before the State Children's Health Insurance Program) versus follow-up (year during the State Children's Health Insurance Program). RESULTS: The proportion of adolescents who reported having a usual source of care increased during State Children's Health Insurance Program compared with before (69.9% to 87.1%). The proportion with any unmet health care need (54.3% to 42.1%) or with unmet need for preventive care (53.8% to 40.6%) decreased, with elimination of racial disparities that existed before the State Children's Health Insurance Program. After enrollment in the State Children's Health Insurance Program, more adolescents reported having had a preventive care visit (65.9% to 74.2%); emergency department use did not change. No differences in satisfaction were noted, although significant increases were noted in both parent- and adolescent-reported rates of having received confidential care and preventive counseling. CONCLUSIONS: Adolescents who enrolled in New York's State Children's Health Insurance Program experienced improved access, use, and quality of care. These findings suggest that the provision of health insurance can help to improve health care for adolescents. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1542/peds.2006-1953 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 1 StartPage: e885 Titles: – TitleFull: Impact of the State Children's Health Insurance Program on adolescents in New York. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Klein JD – PersonEntity: Name: NameFull: Shone LP – PersonEntity: Name: NameFull: Szilagyi PG – PersonEntity: Name: NameFull: Bajorska A – PersonEntity: Name: NameFull: Wilson K – PersonEntity: Name: NameFull: Dick AW IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2007 Type: published Y: 2007 Identifiers: – Type: issn-print Value: 00314005 Numbering: – Type: volume Value: 119 – Type: issue Value: 4 Titles: – TitleFull: Pediatrics Type: main |
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