Good access to health care for all US children and youth remains an important social policy goal. Recent patterns of access as reflected in the presence of regular care sources, health care use, health insurance coverage, and expenditures for medical care are described and analyzed using the subsample of all children 0 to 18 years of age from the 1980 National Medical Care Utilization and Expenditure Survey. Data from the survey indicate that in 1980, 92% of US children and youth had a regular care source and the same percentage were covered for the full year or part of the year by some form of public or private health insurance. However, use rates and patterns of expenditure continued to differ dramatically according to family background factors, particularly race, ethnicity, poverty status, and location of residence. These differences are analyzed and comparative data are presented for groups of children from various sociodemographic groups. Minority-group and near-poor children were found to be at highest risk for limited utilization of services and inadequate insurance coverage.
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机译:为所有美国儿童和青少年提供良好的医疗保健服务仍然是一项重要的社会政策目标。使用1980年美国国家医疗保健利用计划(National Medical Care Utilization)中所有0至18岁儿童的子样本,描述和分析了反映在常规护理资源,医疗保健使用,医疗保险和医疗保健支出中的最新访问模式。和支出调查。调查的数据表明,1980年,美国92%的儿童和青少年拥有定期护理来源,并且某种形式的公共或私人健康保险覆盖了全年或一年中的同一百分比。但是,根据家庭背景因素,特别是种族,族裔,贫困状况和居住地,使用率和支出方式仍然存在巨大差异。对这些差异进行了分析,并提供了来自不同社会人口学群体的儿童组的比较数据。少数族裔和近乎贫困的儿童被发现服务使用受限和保险范围不足的风险最高。
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