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（申请人提供） 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的机会。她将通过与支持成为独立调查员的目标的专家导师合作，继续在她的稳固卫生服务研究基金会的基础上。 研究重点：尽管医疗补助和州儿童健康保险计划（SCHIP）等计划，但美国许多儿童目前没有健康保险。已经表明，不断扩大的父母覆盖范围可改善儿童健康保险的机会。关于父母覆盖范围的终止如何影响儿童的知之甚少。俄勒冈州健康计划（OHP）是一项创新的医疗补助计划，最近实施了成本分配措施，导致成千上万俄勒冈州父母的承保范围丧失。尽管这些OHP政策针对成年人，但可能对儿童有间接影响。该建议扩展了当前的研究，旨在集中于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）扩大她在大型数据库管理和高级统计分析中的知识和经验，重点是识别变量以跨州和国家数据集链接以及倾向分数和纵向分析技术的使用； （2）通过对地理信息系统（CIS）软件的正式培训进行正式培训，扩大了她在进行政策相关研究并更有效地传播发现方面的技能。 方法：（1）国家医疗支出小组调查和俄勒冈州父母的调查的横断面分析和GIS空间分析。 （2）对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：我们将衡量父母的保险损失和儿童保险覆盖范围的其他障碍与儿童健康保险入学率的差异，获得医疗服务，医疗服务利用模式以及报告的健康状况有关。 相关性：此分析将为试图扩大儿童健康保险范围的各州提供宝贵的信息，并寻求最大程度地减少障碍的方法，以便为儿童保险。