Impact of OHP on TANF Leavers' Health Care

OHP 对 TANF 离开者医疗保健的影响

基本信息

批准号：
6732478
负责人：
KAREN SECCOMBE
金额：
$ 2.13万
依托单位：
PORTLAND STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2001
资助国家：
美国
起止时间：
2001-09-05 至 2004-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6732478
关键词：
coping employment /unemployment family health care policy health care service availability health care service utilization health insurance human subject interview public assistance quality of life racial /ethnic difference rural area urban area

项目摘要

DESCRIPTION: This proposal requests funds to examine the effects of welfare reform on the access to health insurance and use of health services among former welfare recipients and their children in the state of Oregon, a state with a unique health care financing system. Specifically it will aim to determine how families leaving welfare for employment plan for and cope with the expiration of their one-year transitional OHP/Medicaid coverage, and what happens to them after losing their eligibility for the single year of transitional coverage. The research has two main aims, requiring both quantitative and qualitative strategies: (1) An assessment of the ways in which welfare reform has impacted the health and well-being of Temporary Assistance for Needy Families (TANF) leavers, including (a) access and barriers they face in securing health care; (b) ways in which they utilize the health care system; (c) how these patterns vary by urban and rural residence, and race/ethnicity; and (d) how the Oregon Health Plan (OHP) influences these outcomes. (2) An appraisal of the ways in which families leaving welfare for employment plan for and cope with the expiration of their one-year transitional OHP/Medicaid coverage, including (a) respondents' knowledge, expectations, and planning process for securing health insurance; (b) their worries and coping strategies; (c) an elaboration of the ways in which welfare reform has impacted their health and well-being, the access and barriers they face in securing health care, and the ways they utilize the health care system; and (d) the ways that residential location and race/ethnicity may influence their access and use of services.

描述：该提案要求提供资金来检查福利的影响改革民众获得医疗保险和使用医疗服务的方式俄勒冈州的前福利领取者及其子女拥有独特的医疗融资体系。具体来说，它将旨在确定离开福利去就业的家庭如何计划和应对他们的一年过渡 OHP/Medicaid 保险到期了，以及什么他们在失去一年的资格后发生了这样的事过渡性覆盖。该研究有两个主要目标，要求定量和定性策略： (1) 评估福利改革对健康的影响方式以及贫困家庭临时援助 (TANF) 离开者的福祉，包括 (a) 他们在获得医疗保健方面面临的获取和障碍； (二) 途径他们利用医疗保健系统； (c) 这些模式如何变化城市和农村居住地以及种族/民族； (d) 俄勒冈州卫生局如何计划 (OHP) 影响这些结果。 (2) 对家庭脱离福利就业方式的评估计划并应对一年过渡期的到期 OHP/医疗补助覆盖范围，包括 (a) 受访者的知识、期望和确保健康保险的规划流程； (b) 他们的担忧和应对方法策略； (c) 详细阐述福利改革的方式影响了他们的健康和福祉、他们的准入和面临的障碍确保医疗保健以及他们利用医疗保健系统的方式；和 (d) 居住地点和种族/民族可能影响他们的方式访问和使用服务。