没有保险的儿童和青少年有保险父母
Jennifer E DeVoe1, Carrie Tillotson, Lorraine S Wallace
1Department of Family Medicine, Oregon Health and Science University, 3181 Sam Jackson Park Rd, Mailcode FM, Portland, OR 97239, USA. devoej@ohsu.edu
JAMA
|October 23, 2008
概括
美国有保险父母的孩子中,有3%以上的孩子没有医疗保险. 预测因素包括低收入,西班牙裔种族,单亲家庭和父母教育水平较低. 父母的公共保险与更好的儿童保险相关.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 数以百万计的美国儿童和青少年缺乏医疗保险.
- 保险扩张的努力往往针对没有保险的父母,忽视了父母有保险的孩子.
- 了解有保险父母的孩子中没有保险的司机对于全面的保险策略至关重要.
研究的目的:
- 确定美国儿童和青少年中医疗保险无保险的关键预测因素,其父母拥有医疗保险.
- 分析人口统计和社会经济因素,这些因素与儿童尽管有父母保险,但却没有保险有关.
主要方法:
- 利用医疗支出小组调查 (MEPS) 2002-2005年间的汇总数据进行横截面和全年分析.
- 包括19岁以下的儿童和青少年,至少有一个居住父母;分析了39,588名 (截面) 和39,710名 (全年) 参与者.
- 检查了至少有一位父母有保险的儿童中无保险的患病率和预测因素.
主要成果:
- 有至少一个保险父母的儿童中,3.3%的体重患病率是没有保险的.
- 西班牙裔族群,低收入至中等收入,单亲家庭和父母教育水平较低的家庭显著预测了无保险.
- 与父母有私人保险的孩子相比,父母持有公共保险的孩子的无保险率较低.
结论:
- 在美国,有保险父母的孩子中,有3%以上的孩子仍然没有保险,这凸显了覆盖范围的差距.
- 低收入,西班牙裔族裔和单亲家庭结构是该人口中缺乏保险的重要风险因素.
- 父母公共保险与更好的儿童保险率有关,这表明了潜在的政策影响.
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