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Related Experiment Videos

The stigma of public programs: does a separate S-CHIP program reduce it?

Patricia Ketsche1, E Kathleen Adams, Karen Minyard

  • 1Institute of Health Administration, Robinson College of Busiess, Georgia State University, USA.

Journal of Policy Analysis and Management : [The Journal of the Association for Public Policy Analysis and Management]
|September 27, 2007
PubMed
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Differences in healthcare access and satisfaction exist between children enrolled in the State Children's Health Insurance Program (S-CHIP) and Medicaid. Programmatic identity, not just socioeconomic factors, significantly impacts children's healthcare experiences.

Area of Science:

  • Health Services Research
  • Pediatric Health Policy
  • Healthcare Disparities

Background:

  • Previous research indicates potential disparities in healthcare access and satisfaction between State Children's Health Insurance Program (S-CHIP) and Medicaid enrollees.
  • It remains unclear if socioeconomic characteristics fully explain these observed differences.

Purpose of the Study:

  • To analyze and compare healthcare access and satisfaction among three distinct groups of children.
  • To investigate the influence of programmatic identity versus socioeconomic factors on differential care experiences.

Main Methods:

  • Comparative analysis of healthcare access and satisfaction data.
  • Inclusion of three child groups: Medicaid enrollees, S-CHIP enrollees, and children eligible for Medicaid but with S-CHIP-like coverage.

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  • Examination of provider and family perceptions regarding enrollment and treatment.

    • Main Results:

    • The same provider networks treat, or are perceived to treat, all three groups differently.
    • Unmeasured family characteristics (e.g., income) contribute to some satisfaction differences between S-CHIP and Medicaid enrollees.
    • Programmatic identity plays a substantial role in creating differential care experiences.

    Conclusions:

    • Healthcare access and satisfaction disparities between S-CHIP and Medicaid enrollees are not solely explained by socioeconomic factors.
    • Programmatic identity significantly influences how children experience healthcare, independent of underlying eligibility or socioeconomic status.
    • Findings highlight the impact of program design and perception on pediatric healthcare delivery.