Navigation Links
After age 18, asthma care deteriorates
Date:4/21/2013

It is widely accepted that medical insurance helps older adults with chronic health problems to receive better care. But what about young adults between the ages of 18 and 25, a demographic that also tends to have the lowest levels of health insurance coverage?

In what may be the first study to measure health care utilization patterns among young adults with chronic health problemsin this case asthmaa team of researchers at Harvard Medical School found that losing health insurance was a significant predictor of deteriorating patterns of health management. Other social factors, including leaving school and losing adult supervision, also contributed to the deterioration.

"This study suggests that expanding insurance coverage will help many young adults with asthma receive the care that they need," said Kao-Ping Chua, a staff physician in the Division of Emergency Medicine at Boston Children's Hospital who led the study. "But it also points to the importance of addressing other socially-mediated factors in this population."

J. Michael McWilliams, HMS assistant professor of health care policy and medicine at Brigham and Women's Hospital was the senior author of the study, to be published April 22 in Pediatrics.

"Aside from the lack of financial protection, uninsurance poses fewer health risks to young adults than for older adults because they are generally healthy," McWilliams said. "But for young people with asthmaor other conditions amenable to medical careit's important to understand and address the barriers to care."

The researchers used nationally representative data from the 1999 to 2009 Medical Expenditure Panel Survey, looking at a sample of 2,485 individuals between the ages of 14 and 25. The researchers investigated how an individual's age related to having a regular care provider, visiting that provider at least once per year, using asthma medications, and visiting the emergency room.

They found that while adolescents under age 18 were more likely to utilize primary care and preventive measures, young adults over age 18 were more likely to use the emergency room and have problems accessing medical care and medications because of cost. Losing insurance explained 32 percent of the decline in use of primary care and 47 to 61 percent of the increase in cost-related access problems.

Under the federal Affordable Care Act health reform law, young people whose parents have private insurance will be eligible to remain covered on their parents' policies until they are 26. The news is not so good for many low-income young people whose parents may be uninsured or receive public assistance. Since the Supreme Court ruled that the ACA could not require states to expand their Medicaid coverage, many states have decided not to expand coverage, and one of the key groups that will likely be left out is low-income young adults.

"We may continue to see particularly poor asthma care for many young adults in states that don't expand their Medicaid programs," McWilliams said.

But increasing insurance coverage alone is not the answer, the researchers said. Health professionals who provide care for children and adolescents with chronic illnesses like asthma have to think about patients who are aging out of their practice, the researchers said.

"Young people with asthma need to work with their care providers to create transition plans from pediatric to adult care that take into account their medical and social history," Chua said.


'/>"/>

Contact: David Cameron
david_cameron@hms.harvard.edu
617-432-0441
Harvard Medical School
Source:Eurekalert

Related medicine news :

1. Young girls more likely to report side effects after HPV vaccine
2. Experts Offer Advice After Yankee Pitchers Trampoline Injury
3. Breast cancer patients suffer treatment-related side effects long after completing care
4. Codeine After Surgery Could Endanger Certain Kids: Study
5. Drug May Prevent Pancreatitis After Digestive Procedure
6. Diagnostic yield of colonoscopy for melena after nondiagnostic upper endoscopy is lower than previously reported
7. After Hospitalization, Men More Likely to Show Up in ER
8. Men More Prone to Complications After Brain, Spine Surgery
9. Close Laundry Detergent Right After Use, Expert Says
10. Donor Kidney Re-Used in Second Patient After Failing in First
11. Guidelines say diet, exercise, weight control improve odds after cancer diagnosis
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, ... treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including robotic ... osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, ... minimum wage raise to $12 an hour by 2020 and then adjusting it yearly to ... value of the minimum wage, assure the wage floor does not erode again, and make ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... the Clinical Decision Making in Emergency Medicine conference in Ponte Vedra Beach, FL. ... articles published in Emergency Medicine Practice and Pediatric Emergency Medicine Practice. ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... The Grove Investment Group (TGIG), has initiated cultivation and processing operations at its ... Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of a complete system ...
(Date:6/24/2016)... ... June 24, 2016 , ... National recruitment firm ... sciences executive with extensive sequencing and genomics experience, as Vice President of North American ... Hill will be responsible for leading the sales team in the commercialization of the ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... the "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural ... Structural electronics involves electronic and/or ... protective structures, replacing dumb structures such as vehicle ...
(Date:6/24/2016)... , June 24, 2016 According ... by Type (Standard Pen Needles, Safety Pen Needles), Needle ... GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) - ... This report studies the market for the forecast period ... reach USD 2.81 Billion by 2021 from USD 1.65 ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... - Forecast to 2022" report to their offering. ... for the patients with kidney failure, it replaces the function ... the patient,s blood and thus the treatment helps to keep ... in balance. Increasing number of ESRD patients ...
Breaking Medicine Technology: