Does Parental Health Insurance Loss Affect Children's Access to Care?

父母健康保险损失是否会影响儿童获得护理？

• 批准号: 7821209
• 负责人: Jennifer E DeVoe
• 金额: $ 12.31万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7821209
• 关键词: Does; Parental; Health; Insurance; Loss

CANDIDATE: Dr. DeVoe is proposing to study how loss of parental health insurance affects children's access to health care services. She will continue to build upon her solid health services research foundation by working with expert mentors who support her goal of becoming an independent investigator. RESEARCH FOCUS: Despite programs such as Medicaid and the State Children's Health Insurance Program (SCHIP), many children in the U.S. do not currently have health insurance. It has been shown that expanding parental coverage leads to improved access to health insurance for children. LESS IS KNOWN ABOUT HOW TERMINATION OF PARENTAL COVERAGE AFFECTS CHILDREN. The Oregon Health Plan (OHP), an innovative Medicaid expansion program, has recently implemented cost sharing measures that have led to the loss of coverage for thousands of Oregon parents. Although these OHP policies were aimed at adults, there may be an indirect affect on children. This proposal expands on current research and has been designed to focus on how parental insurance loss is affecting children's access to care. TRAINING GOALS: Dr. DeVoe's training goals include: (1) broadening her knowledge and experience in large database management and advanced statistical analysis, with a focus on identifying variables to link across state and national datasets and the use of propensity scores and longitudinal analytical techniques; and (2) expanding her skills in conducting policy relevant studies and disseminating findings more effectively, with formal training in the use of geographic information system (CIS) software. METHODS: (1) Cross-sectional analysis and GIS spatial analysis of the national Medical Expenditure Panel Survey and a survey of Oregon parents. (2) Longitudinal analysis of three waves of survey data from an ongoing statewide prospective cohort study. OUTCOMES: We will measure how parental loss of insurance and other barriers to children's insurance coverage are associated with differences in children's health insurance enrollment rates, access to health care services, patterns of health services utilization, and reported health status. RELEVANCE: This analysis will provide valuable information for states attempting to expand children's health insurance coverage and looking for ways to minimize barriers in order to keep children insured.

候选人：Devoe博士建议研究父母健康保险的损失如何影响儿童 获得医疗服务。她将继续建立在她的稳固卫生服务研究基金会的基础上 通过与支持她成为独立调查员的目标的专家导师合作。 研究重点：尽管医疗补助和州儿童健康保险等计划 计划（SCHIP），美国许多儿童目前没有健康保险。已经表明 扩大父母的覆盖范围可改善儿童获得健康保险的机会。少已知 关于父母覆盖范围的终止如何影响儿童。俄勒冈州健康 计划（OHP）是一项创新的医疗补助计划，最近实施了成本分担措施 这导致了成千上万俄勒冈父母的承保范围。尽管这些OHP政策是 针对成年人，可能对儿童有间接影响。该建议扩展了当前的研究和 旨在关注父母保险损失如何影响儿童获得护理的机会。 培训目标：Devoe博士的培训目标包括：（1）扩大她的知识和经验 大型数据库管理和高级统计分析，重点是识别变量以链接 跨州和国家数据集以及倾向得分和纵向分析技术的使用； （2）扩大她在进行政策相关研究方面的技能和更有效地传播发现的技能， 通过使用地理信息系统（CIS）软件的正式培训。 方法：（1）国家医疗支出面板的横截面分析和GIS空间分析 调查和对俄勒冈父母的调查。 （2）对三波调查数据的纵向分析 正在进行的全州前瞻性队列研究。 成果：我们将衡量父母的保险损失以及儿童保险的其他障碍 覆盖范围与儿童健康保险招生率的差异有关，获得健康 护理服务，卫生服务使用模式以及报告的健康状况。 相关性：此分析将为试图扩大儿童的国家提供有价值的信息 健康保险范围和寻找最小化障碍的方法，以便保留孩子的保险。

项目成果

Receipt of diabetes preventive care among safety net patients associated with differing levels of insurance coverage.

• DOI: 10.3122/jabfm.2012.01.110142
• 发表时间: 2012-01
• 期刊: Journal of the American Board of Family Medicine : JABFM
• 作者: Gold R;DeVoe JE;McIntire PJ;Puro JE;Chauvie SL;Shah AR
• 通讯作者: Shah AR

Patterns of empiric treatment of Chlamydia trachomatis infections in an underserved population.

服务不足人群沙眼衣原体感染的经验治疗模式。

• 发表时间: 2012
• 期刊: Family medicine
• 影响因子: 1.9
• 作者: Faricy,Lauren;Page,Tanya;Ronick,Mischa;Rdesinski,Rebecca;DeVoe,Jennifer
• 通讯作者: DeVoe,Jennifer

Uninsured children and adolescents with insured parents.

父母参保的未参保儿童和青少年。

• DOI: 10.1001/jama.2008.516
• 发表时间: 2008
• 期刊: JAMA
• 作者: DeVoe,JenniferE;Tillotson,Carrie;Wallace,LorraineS
• 通讯作者: Wallace,LorraineS

Insurance continuity and receipt of diabetes preventive care in a network of federally qualified health centers.

• DOI: 10.1097/mlr.0b013e318190ccac
• 发表时间: 2009-04
• 期刊: Medical care
• 影响因子: 3
• 作者: Gold R;DeVoe J;Shah A;Chauvie S
• 通讯作者: Chauvie S

Uninsured patient opinions about a reduced-fee retainer program at academic health center clinics.

未参保患者对学术健康中心诊所的减费保留计划的看法。

• DOI: 10.3122/jabfm.2011.03.100228
• 发表时间: 2011
• 期刊: Journal of the American Board of Family Medicine : JABFM
• 作者: Saultz,JohnW;Heineman,John;Seltzer,Rachel;Bunce,Arwen;Spires,Leneva;Devoe,Jennifer
• 通讯作者: Devoe,Jennifer