NON PRICE BARRIERS, MEDICAID COVERAGE, AND INFANT HEALTH

描述(改编自申请者摘要)：公共医疗补助 服务于许多贫困妇女和儿童的保险计划已经经历了 自20世纪80年代中期以来发生了广泛的变化。评估这些变化的工作已经完成 只专注于提高收入上限的慷慨程度 医疗补助资格。这项研究表明，许多符合条件的孕妇 在他们怀孕的大部分时间里都没有被覆盖。各州已经做出了回应 通过信息性计划和旨在使其成为 对女性来说更容易注册。此应用程序将评估以下各项的效果 入学、产前护理、母亲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(用于注册分析)和重要 统计数据详细说明了国籍数据(出生证明的普查)。大的 VSDN数据的大小将允许我们询问这些变化的影响 随母亲的种族和民族特征以及 年龄、教育程度和移民身份，这一点很重要，因为以前 文献表明，医疗保健的非价格壁垒可能在以下几个方面有所不同 组。关于外展和程序变化的一些信息已经被 为全国州长协会的这项申请而集结 新闻通讯。该项目的一个主要贡献将是收集更多 关于这些变化的全面数据，将通过直接联系收集数据 与州政府机构合作。

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.