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Disparities in access to preventive health care services among insured children in a cross sectional study

Children with insurance have better access to care and health outcomes if their parents also have insurance. However, little is known about whether the type of parental insurance matters. This study attempts to determine whether the type of parental insurance affects the access to health care servic...

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Autor principal: King, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956833/
https://www.ncbi.nlm.nih.gov/pubmed/27428239
http://dx.doi.org/10.1097/MD.0000000000004262
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author King, Christian
author_facet King, Christian
author_sort King, Christian
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description Children with insurance have better access to care and health outcomes if their parents also have insurance. However, little is known about whether the type of parental insurance matters. This study attempts to determine whether the type of parental insurance affects the access to health care services of children. I used data from the 2009–2013 Medical Expenditure Panel Survey and estimated multivariate logistic regressions (N = 26,152). I estimated how family insurance coverage affects the probability that children have a usual source of care, well-child visits in the past year, unmet medical and prescription needs, less than 1 dental visit per year, and unmet dental needs. Children in families with mixed insurance (child publicly insured and parent privately insured) were less likely to have a well-child visit than children in privately insured families (odds ratio = 0.86, 95% confidence interval 0.76–0.98). When restricting the sample to publicly insured children, children with privately insured parents were less likely to have a well-child visit (odds ratio = 0.82, 95% confidence interval 0.73–0.92), less likely to have a usual source of care (odds ratio = 0.79, 95% confidence interval 0.67–0.94), and more likely to have unmet dental needs (odds ratio = 1.68, 95% confidence interval 1.10–2.58). Children in families with mixed insurance tend to fare poorly compared to children in publicly insured families. This may indicate that children in these families may be underinsured. Expanding parental eligibility for public insurance or subsidizing private insurance for children would potentially improve their access to preventive care.
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spelling pubmed-49568332016-08-02 Disparities in access to preventive health care services among insured children in a cross sectional study King, Christian Medicine (Baltimore) 6200 Children with insurance have better access to care and health outcomes if their parents also have insurance. However, little is known about whether the type of parental insurance matters. This study attempts to determine whether the type of parental insurance affects the access to health care services of children. I used data from the 2009–2013 Medical Expenditure Panel Survey and estimated multivariate logistic regressions (N = 26,152). I estimated how family insurance coverage affects the probability that children have a usual source of care, well-child visits in the past year, unmet medical and prescription needs, less than 1 dental visit per year, and unmet dental needs. Children in families with mixed insurance (child publicly insured and parent privately insured) were less likely to have a well-child visit than children in privately insured families (odds ratio = 0.86, 95% confidence interval 0.76–0.98). When restricting the sample to publicly insured children, children with privately insured parents were less likely to have a well-child visit (odds ratio = 0.82, 95% confidence interval 0.73–0.92), less likely to have a usual source of care (odds ratio = 0.79, 95% confidence interval 0.67–0.94), and more likely to have unmet dental needs (odds ratio = 1.68, 95% confidence interval 1.10–2.58). Children in families with mixed insurance tend to fare poorly compared to children in publicly insured families. This may indicate that children in these families may be underinsured. Expanding parental eligibility for public insurance or subsidizing private insurance for children would potentially improve their access to preventive care. Wolters Kluwer Health 2016-07-18 /pmc/articles/PMC4956833/ /pubmed/27428239 http://dx.doi.org/10.1097/MD.0000000000004262 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6200
King, Christian
Disparities in access to preventive health care services among insured children in a cross sectional study
title Disparities in access to preventive health care services among insured children in a cross sectional study
title_full Disparities in access to preventive health care services among insured children in a cross sectional study
title_fullStr Disparities in access to preventive health care services among insured children in a cross sectional study
title_full_unstemmed Disparities in access to preventive health care services among insured children in a cross sectional study
title_short Disparities in access to preventive health care services among insured children in a cross sectional study
title_sort disparities in access to preventive health care services among insured children in a cross sectional study
topic 6200
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956833/
https://www.ncbi.nlm.nih.gov/pubmed/27428239
http://dx.doi.org/10.1097/MD.0000000000004262
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