Does Parental Health Insurance Loss Affect Children's Access to Care?

候选人：德沃博士提议研究失去父母健康保险对儿童健康的影响 获得保健服务的机会。她将继续在其坚实的医疗服务研究基础上继续发展。 通过与专家导师合作，他们支持她成为一名独立调查员的目标。 研究焦点：尽管有医疗补助和国家儿童健康保险等计划 计划(SCIP)，美国的许多儿童目前没有医疗保险。事实证明， 扩大父母覆盖面有助于改善儿童获得医疗保险的机会。鲜为人知 关于终止父母保险对儿童的影响。《俄勒冈健康报》 医疗补助计划(OHP)是一项创新的医疗补助扩展计划，最近实施了费用分担措施 这导致俄勒冈州数千名父母失去了保险。尽管这些OHP政策是 针对成年人，可能会对儿童产生间接影响。这项建议扩展了当前的研究和 旨在关注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)拓宽她在 大型数据库管理和高级统计分析，重点是确定要联系的变量 跨州和全国的数据集以及倾向评分和纵向分析技术的使用； 以及(2)拓展她进行政策相关研究和更有效地传播研究成果的技能， 接受使用地理信息系统(CIS)软件的正式培训。 方法：(1)全国医疗费用面板横断面分析和地理信息系统空间分析 调查和俄勒冈州父母的调查。(2)三波调查数据的纵向分析 正在进行的全州前瞻性队列研究。 结果：我们将衡量父母失去保险和其他阻碍儿童保险的因素 覆盖范围与儿童健康保险参保率、获得健康的机会 保健服务、保健服务利用模式和报告的健康状况。 相关性：这项分析将为试图扩大儿童 医疗保险覆盖范围，并寻找将障碍降至最低的方法，以便为儿童提供保险。

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.