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Provider Visits for Asthma: Potential Barriers for Insured Children

OBJECTIVE: The barriers to provider visits for asthma in insured children are not well understood. Our objective was to examine the relationship between parent, family, and child attributes and asthma visits in insured children. METHODS: This retrospective, cross-sectional analysis of 2007 Medical E...

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Detalles Bibliográficos
Autores principales: Goedken, Amber M., Urmie, Julie M., Polgreen, Linnea A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Center of Science and Education 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803856/
https://www.ncbi.nlm.nih.gov/pubmed/26156910
http://dx.doi.org/10.5539/gjhs.v7n5p96
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author Goedken, Amber M.
Urmie, Julie M.
Polgreen, Linnea A.
author_facet Goedken, Amber M.
Urmie, Julie M.
Polgreen, Linnea A.
author_sort Goedken, Amber M.
collection PubMed
description OBJECTIVE: The barriers to provider visits for asthma in insured children are not well understood. Our objective was to examine the relationship between parent, family, and child attributes and asthma visits in insured children. METHODS: This retrospective, cross-sectional analysis of 2007 Medical Expenditure Panel Survey-Household Component data included insured children 0-17 years old reported to have active asthma. We summed the number of provider visits during which asthma was treated or diagnosed to represent the frequency of asthma visits during the year. Probit models were used to estimate the relationship between parent, family, and child attributes and asthma visits. RESULTS: Seventy percent of the 542 children did not have an asthma visit during the year. Children with parents employed full time were 16 percentage points less likely to have an asthma visit than children whose parents were not working (P = .01). CONCLUSION: Many insured children go more than a year without seeing a provider for their asthma, signaling that insurance is not sufficient to guarantee children will receive asthma monitoring. The attributes related to asthma visits suggest potential barriers that providers might want to consider to increase participation in asthma visits.
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spelling pubmed-48038562016-04-21 Provider Visits for Asthma: Potential Barriers for Insured Children Goedken, Amber M. Urmie, Julie M. Polgreen, Linnea A. Glob J Health Sci Articles OBJECTIVE: The barriers to provider visits for asthma in insured children are not well understood. Our objective was to examine the relationship between parent, family, and child attributes and asthma visits in insured children. METHODS: This retrospective, cross-sectional analysis of 2007 Medical Expenditure Panel Survey-Household Component data included insured children 0-17 years old reported to have active asthma. We summed the number of provider visits during which asthma was treated or diagnosed to represent the frequency of asthma visits during the year. Probit models were used to estimate the relationship between parent, family, and child attributes and asthma visits. RESULTS: Seventy percent of the 542 children did not have an asthma visit during the year. Children with parents employed full time were 16 percentage points less likely to have an asthma visit than children whose parents were not working (P = .01). CONCLUSION: Many insured children go more than a year without seeing a provider for their asthma, signaling that insurance is not sufficient to guarantee children will receive asthma monitoring. The attributes related to asthma visits suggest potential barriers that providers might want to consider to increase participation in asthma visits. Canadian Center of Science and Education 2015-09 2015-02-24 /pmc/articles/PMC4803856/ /pubmed/26156910 http://dx.doi.org/10.5539/gjhs.v7n5p96 Text en Copyright: © Canadian Center of Science and Education http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Articles
Goedken, Amber M.
Urmie, Julie M.
Polgreen, Linnea A.
Provider Visits for Asthma: Potential Barriers for Insured Children
title Provider Visits for Asthma: Potential Barriers for Insured Children
title_full Provider Visits for Asthma: Potential Barriers for Insured Children
title_fullStr Provider Visits for Asthma: Potential Barriers for Insured Children
title_full_unstemmed Provider Visits for Asthma: Potential Barriers for Insured Children
title_short Provider Visits for Asthma: Potential Barriers for Insured Children
title_sort provider visits for asthma: potential barriers for insured children
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803856/
https://www.ncbi.nlm.nih.gov/pubmed/26156910
http://dx.doi.org/10.5539/gjhs.v7n5p96
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