Public health insurance, program take-up, and child health
Public health insurance, program take-up, and child health
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DOI：
10.1162/rest.89.3.400
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发表时间：
2007-08-01
影响因子：
8
通讯作者：
Aizer, Anna
中科院分区：
文献类型：
--
作者：
Aizer, Anna
1996年，在1000万没有保险的儿童中，近一半有资格获得公共健康保险（医疗补助），但没有注册。作为回应，减少未参保者的政策努力已经从扩大医疗补助计划的资格转移到增加符合条件的人的接受程度。然而，人们对贫困家庭未能入学的原因及其后果知之甚少。通过使用一个独特的数据集，我发现信息和管理成本是入学的重要障碍，尤其是对西班牙裔和亚裔来说。此外，在儿童生病之前将其纳入医疗补助计划，可以促进预防性护理的使用，减少住院治疗的需要，并改善健康状况。
Of the ten million uninsured children in 1996, nearly half were eligible for public health insurance (Medicaid) but not enrolled. In response, policy efforts to reduce the uninsured have shifted from expanding Medicaid eligibility to increasing take-up among those eligible. However, little is known about the reasons poor families fail to enroll or the consequences. Using a unique data set I find that information and administrative costs are important barriers to enrollment, especially for Hispanics and Asians. In addition, enrolling children in Medicaid before they get sick promotes the use of preventative care, reduces the need for hospitalization, and improves health.