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Health care utilization by children with asthma
Hyoshin Kim1, Gail M Kieckhefer, April A Greek
1Battelle Centers for Public Health Research and Evaluation, 1100 Dexter Ave N, Ste 400, Seattle, WA 98109-3598, USA. kimh@battelle.org
Preventing Chronic Disease
|December 17, 2008
Summary
Children from minority and low-socioeconomic backgrounds with asthma utilize more urgent care and less preventive health services. Health insurance coverage impacts overall health service use in pediatric asthma patients.
Area of Science:
- Pediatric Healthcare
- Health Services Research
- Asthma Management
Background:
- Disparities in healthcare access and utilization persist among children with asthma.
- Factors like race/ethnicity, socioeconomic status, and insurance influence health service use.
Purpose of the Study:
- To investigate associations between race/ethnicity, socioeconomic status, and insurance coverage on pediatric asthma health service utilization.
- To identify patterns of care that may contribute to health inequities.
Main Methods:
- Analysis of Medical Expenditure Panel Survey data (1996-2000) for 982 children with asthma.
- Calculation of descriptive statistics, odds ratios, and incidence rate ratios to compare service utilization.
Main Results:
- Non-Hispanic Black children accessed more urgent care and less preventive care.
- Low-income children showed reduced prescription fills and general checkups.
- Higher maternal education correlated with more checkups and fewer emergency visits.
- Insured children utilized more asthma-related health services, excluding emergency department visits.
Conclusions:
- Minority and socioeconomically disadvantaged children with asthma receive less preventive and more urgent care.
- Lack of health insurance is linked to lower overall health service utilization.
- Further research is needed to understand factors influencing effective asthma management in children.
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