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: 7071497
• 负责人: Jennifer E DeVoe
• 金额: $ 12.83万
• 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/7071497
• 关键词: behavioral /social science research tag; child welfare; children; clinical research; geographic site; health behavior; health care policy; health care service availability; health care service utilization; health insurance; health science research analysis /evaluation; health services research tag; health surveys; human data; information systems; longitudinal human study; medically underserved population; meta analysis; social support network

DESCRIPTION (provided by the applicant) 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.

描述（由申请人提供） 候选人：DeVoe博士建议研究失去父母健康保险如何影响儿童获得医疗保健服务。她将继续与支持她成为独立调查员的目标的专家导师合作，在坚实的卫生服务研究基础上再接再厉。 研究重点：尽管有医疗补助和国家儿童健康保险计划（SCHIP）等计划，但美国许多儿童目前没有健康保险。事实表明，扩大父母保险范围可改善儿童获得健康保险的机会。关于父母保险覆盖范围的扩大如何影响孩子，我们所知甚少。俄勒冈州健康计划（OHP）是一项创新的医疗补助扩展计划，最近实施了成本分摊措施，导致数千名俄勒冈州父母失去了保险。虽然这些OHP政策是针对成年人的，但可能对儿童产生间接影响。该提案扩展了目前的研究，旨在关注父母保险损失如何影响儿童获得护理。 培训目标：DeVoe博士的培训目标包括：（1）扩大她在大型数据库管理和高级统计分析方面的知识和经验，重点是识别跨州和国家数据集的变量，以及使用倾向评分和纵向分析技术;及（2）提升她进行政策研究及更有效地传播研究结果的技巧，在使用地理信息系统（CIS）软件方面接受过正式培训。 方法：（1）对全国医疗费用追踪调查和俄勒冈州家长调查进行横断面分析和GIS空间分析。(2)来自一项正在进行的全州前瞻性队列研究的三波调查数据的纵向分析。 结果：我们将衡量父母失去保险和儿童保险覆盖的其他障碍如何与儿童健康保险参保率，获得医疗保健服务，医疗服务利用模式和报告的健康状况的差异相关。 相关性：这一分析将为试图扩大儿童健康保险覆盖面的州提供有价值的信息，并寻找最大限度地减少障碍的方法，以使儿童获得保险。