Private Insurance and Prescription Outcomes for Children

描述（由申请人提供）：很少有人关注私人保险儿童的覆盖障碍，尽管很大一部分美国儿童都在私人保险之下。特别是在私人保险日益恶化的时代，调查私人保险的慢性病儿童是否有治疗风险变得非常重要。 我们的研究旨在使用一个独特的纵向数据集来填补这一空白，该数据集包含大量私人保险儿童及其家庭的信息。在这个项目中，我们将采取的第一步，调查父母如何应对私人保险费用分担有关他们的孩子使用医疗服务的研究处方药覆盖的结果由慢性病儿童的影响。 拟议研究的主要具体目的是确定处方药费用分摊的变化如何影响私人保险慢性病儿童对各种慢性病处方药治疗的依从性。作为第二个目标，我们建议确定处方药费用分担对慢性病儿童住院和门诊费用的影响。 在这两个目标，我们将控制其他健康计划的特点，孩子自己的特点，共病条件，一般家庭特点，和其他家庭成员的自付负担。

DESCRIPTION (provided by applicant): Little attention has focused on barriers to coverage among the privately insured children, although, a large portion of the American children are covered under private insurance. Especially in an era of deteriorating private coverage, it has become very important to investigate whether privately insured chronically ill children are at risk for treatment. Our study aims to fill this gap using a unique longitudinal dataset that contains information on a large group of privately insured children and their families. In this project, we will take a first step in investigating how parents respond to private insurance cost sharing regarding health services use of their children by studying the impact of prescription drug coverage on outcomes by the chronically ill children. The primary specific aim of the proposed research is to determine how changes in prescription drug cost sharing affect adherence to prescription drug therapy for various chronic conditions among the privately insured chronically ill children. As a secondary aim, we propose to identify the effect of prescription drug cost sharing on inpatient and outpatient spending among the chronically ill children. In both aims, we will control for other health plan characteristics, child's own characteristics, co-morbid conditions, general family characteristics, and the out-of-pocket burden of other family members.