...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Adolescent health insurance coverage: recent changes and access to care.
【24h】

Adolescent health insurance coverage: recent changes and access to care.

机译：青少年健康保险范围：最近的变化和获得护理的机会。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To assess the health insurance status of adolescents, the trends in adolescent health care coverage, the demographic and socioeconomic correlates of insurance coverage, and the role that insurance coverage plays in influencing access to and use of health care. Together, the results provide a current and comprehensive profile of adolescent health insurance coverage. METHODS: We analyzed data on 14 252 adolescents, ages 10 to 18 years, included in the 1995 National Health Interview Survey. The survey obtained information on insurance coverage and several measures of access and utilization, including usual source of care, site of the usual source of care, indications of missed or delayed care, and use of ambulatory physician services by adolescents. We conducted multivariate analyses to assess the independent association of age, sex, race, poverty status, family structure, family size, region of residence, metropolitan resident status, and health status on the likelihood of insurance coverage. We conducted bivariate and multivariate analyses to ascertain how insurance coverage was related to each of the access and utilization measures obtained in the survey. We also examined trends in health insurance coverage using the 1984, 1989, and 1995 editions of the National Health Interview Survey. RESULTS: An estimated 14.1% of adolescents were uninsured in 1995. Risk of being uninsured was higher for older adolescents, minorities, adolescents in low-income families, and adolescents in single parent households. Compared with their insured counterparts, uninsured adolescents were five times as likely to lack a usual source of care, four times as likely to have unmet health needs, and twice as likely to go without a physician contact during the course of a year. Between 1984 and 1995 the percentage of adolescents with some form of health insurance coverage remained essentially unchanged. During this period, the prevalence of private health insurance decreased, while the prevalence of public health insurance increased. CONCLUSIONS: This study demonstrates the critical importance of health insurance as a determinant of access to and use of health services among adolescents. It also shows that little progress has been made during the past 15 years in reducing the size of the uninsured adolescent population. The new State Children's Health Insurance Program could lead to substantial improvements in access to care for adolescents, but only if states implement effective outreach and enrollment strategies for uninsured adolescents.adolescents, health insurance, access, Medicaid, SCHIP.
机译：目的：评估青少年的健康保险状况，青少年健康保险覆盖率的趋势，保险覆盖率的人口统计和社会经济相关性，以及保险覆盖率在影响获得和使用医疗保健中的作用。这些结果共同提供了青少年健康保险覆盖面的最新信息。方法：我们分析了14252名10至18岁青少年的数据，这些数据包括在1995年美国国民健康访问调查中。该调查获得了有关保险范围和几种获取和利用措施的信息，包括通常的护理来源，通常的护理来源，缺少或延迟护理的迹象以及青少年使用门诊医师服务。我们进行了多元分析，以评估年龄，性别，种族，贫困状况，家庭结构，家​​庭规模，居住地区，大城市居民身份和健康状况与保险承保范围的独立关联。我们进行了双变量和多变量分析，以确定保险覆盖率与调查中获得的每种获取和使用措施之间的关系。我们还使用1984年，1989年和1995年的《国家健康采访调查》检查了健康保险覆盖率的趋势。结果：1995年，估计有14.1％的青少年没有保险。年龄较大的青少年，少数民族，低收入家庭的青少年和单亲家庭的青少年的未保险风险更高。与有保险的同龄人相比，没有保险的青少年缺乏常规照护的可能性是其五倍，未满足健康需求的可能性是其四倍，而在一年中没有医生联系的可能性是其两倍。在1984年至1995年之间，拥有某种形式的医疗保险的青少年百分比基本保持不变。在此期间，私人健康保险的患病率下降，而公共健康保险的患病率上升。结论：这项研究表明健康保险对于青少年获取和使用健康服务的决定性至关重要。它还表明，在过去的15年中，减少未保险青少年人口的进展很小。新的州儿童健康保险计划可能会导致青少年获得医疗的实质性改善，但前提是各州对未保险的青少年（青少年，健康保险，可及性，医疗补助，SCHIP）实施有效的外展和注册策略。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号