Insurance coverage and financial burden for families of children with special health care needs
Insurance coverage and financial burden for families of children with special health care needs
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DOI：
10.1016/j.ambp.2006.04.009
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发表时间：
2006-07-01
期刊：
影响因子：
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通讯作者：
Newacheck, Paul W.
中科院分区：
文献类型：
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作者：
Chen, Alex Y.;Newacheck, Paul W.
客观。-要检查的作用，保险范围在保护家庭的儿童有特殊的医疗保健需要（CSHCN）从与照顾相关的经济负担。对2001年全国有特殊卫生保健需求儿童调查的数据进行了分析。我们建立了2个多变量回归模型，使用“工作损失/削减”和“经历财务问题”作为因变量，保险状况作为主要的独立变量，同时调整收入，种族/民族，功能限制/严重程度，和其他社会人口预测。大约29.9%的CSHCN生活在他们的病情导致父母报告减少工作或完全停止工作的家庭中。20.9%的CSHCN家庭报告说，由于孩子的病情，他们遇到了经济困难。保险覆盖面大大降低了每个收入水平家庭出现财务问题的可能性。有连续保险的贫困家庭和低收入家庭出现经济困难的比例分别从35.7%和44.9%降至23.0%和24.5%（P
Objective.-To examine the role of insurance coverage in protecting families of children with special health care needs (CSHCN) from the financial burden associated with care.Methods.-Data from the 2001 National Survey of Children with Special Health Care Needs were analyzed. We built 2 multivariate regression models by using "work loss/cut back" and "experiencing financial problems" as the dependent variables, and insurance status as the primary independent variable of interest while adjusting for income, race/ethnicity, functional limitation/ severity, and other sociodemographic predictors.Results.-Approximately 29.9% of CSHCN live in families where their condition led parents to report cutting back on work or stopping work completely. Families of 20.9% of CSHCN reported experiencing financial difficulties due to the child's condition. Insurance coverage significantly reduced the likelihood of financial problems for families at every income level. The proportion of families experiencing financial problems was reduced from 35.7% to 23.0% for the poor and 44.9% to 24.5% for low-income families with continuous insurance coverage (P