NON PRICE BARRIERS, MEDICAID COVERAGE, AND INFANT HEALTH

无价格障碍、医疗补助覆盖范围和婴儿健康

• 批准号: 6388191
• 负责人: Janet M. Currie
• 金额: $ 15.36万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-05-20 至 2003-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6388191
• 关键词: Medicare /Medicaid; behavioral /social science research tag; human data; infant human (0-1 year); maternal behavior; outcomes research; prenatal care; racial /ethnic difference

DESCRIPTION (Adapted from the Applicant's Abstract): Medicaid, a public insurance program that serves many poor women and children, has undergone extensive changes since the mid-1980s. Work evaluating these changes has focused exclusively on increases in the generosity of income cutoffs for Medicaid eligibility. This research has shown that many eligible pregnant women remain uncovered throughout much of their pregnancies. States have responded with informational programs and with procedural changes designed to make it easier for women to enroll. This application will evaluate the effects of these changes on enrollments, prenatal care, maternal behaviors, and infant outcomes over the years 1988 to 1998. Primary data sources include the Survey of Income and Program Participation (for the analysis of enrollments) and the Vital Statistics Detail Natality data (a census of birth certificates). The large size of the VSDN data will allow us to ask whether the effects of these changes vary with the racial and ethnic characteristics of the mother, as well as with age, education, and immigrant status, which is important because the previous literature suggests that non-price barriers to care may vary between these groups. Some information about outreach and procedural changes has been assembled for this application from National Governor's Association newsletters. A key contribution of this project will be the collection of more comprehensive data on these changes, data that will assembled by direct contact with state agencies.

描述（改编自申请人的摘要）：医疗补助，公共 为许多贫困妇女和儿童服务的保险计划， 自1980年代中期以来发生了巨大变化。评估这些变化的工作 专注于增加慷慨的收入截止， 医疗补助资格。这项研究表明，许多符合条件的孕妇 在她们怀孕的大部分时间里都没有被发现。各国作出了回应 通过信息程序和程序上的改变， 女性更容易入学。本应用程序将评估这些影响 入学率、产前护理、孕产妇行为和婴儿结局的变化 从1988年到1998年。主要数据来源包括收入调查 和计划参与（用于分析入学情况）以及重要的 详细出生数据（出生证普查）。大 VSDN数据的大小将允许我们询问这些更改的影响是否 不同的种族和民族的特点，母亲，以及 年龄，教育和移民身份，这很重要，因为以前的 文献表明，非价格障碍，以照顾可能会有所不同， 组一些关于外联和程序变化的信息已被 全国州长协会为这次申请而召集的 报纸等多个形式该项目的一个关键贡献将是收集更多的 关于这些变化的全面数据，这些数据将通过直接接触 与国家机构。