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

候选人：DeVoe博士建议研究失去父母健康保险如何影响儿童的健康。 获得保健服务。她将继续建立在她坚实的卫生服务研究基础上 通过与支持她成为独立调查员目标的专家导师合作。 研究重点：尽管有医疗补助和国家儿童健康保险等项目， 根据SCHIP计划，美国许多儿童目前没有医疗保险。已经显示 扩大父母的保险范围有助于改善儿童获得健康保险的机会。知之甚少 关于父母保险范围的扩大如何影响孩子。俄勒冈州卫生部 医疗补助计划（OHP）是一项创新的医疗补助扩展计划，最近实施了成本分摊措施 导致数千名俄勒冈州父母失去保险。尽管这些OHP政策 针对成年人，可能会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）扩大她在以下方面的知识和经验： 大型数据库管理和高级统计分析，重点是确定要链接的变量 跨州和国家数据集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）全国医疗费用面板数据的横断面分析和GIS空间分析 调查和对俄勒冈州父母的调查。(2)三波观测资料的纵向分析 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儿童保险的其他障碍 覆盖率与儿童健康保险入学率、获得健康的机会 护理服务，卫生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权利的国家提供有价值的信息。 健康保险覆盖面，并寻找最大限度地减少障碍的方法，以使儿童得到保险。

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.