Navigation Links
After age 18, asthma care deteriorates

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
Harvard Medical School

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:
(Date:6/24/2016)... ... ... A recent article published June 14 on E Online details ... to state that individuals are now more comfortable seeking to undergo not only the ... and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) notes ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle Cell ... pain and the benefits of holistic treatments, Serenity Recovery Center of Marne, ... Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the red blood ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Conference and Scientific Sessions in Dallas that it will receive two significant new ... the grants came as PHA marked its 25th anniversary by recognizing patients, medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Dr. Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile ... orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can ...
(Date:6/24/2016)... ... ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for ... $12 an hour by 2020 and then adjusting it yearly to increase at the same ... wage, assure the wage floor does not erode again, and make future increases more predictable. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... a startling report released today, National Safety Council research ... proven plan to eliminate prescription opioid overdoses. Prescription Nation ... tackling the worst drug crisis in recorded U.S. history, assigned a ... , New Mexico , Tennessee ... failing states, three – Michigan , ...
(Date:6/23/2016)... , June 23, 2016 Bracket , a ... its next generation clinical outcomes platform, Bracket eCOA (SM) ... on June 26 – 30, 2016 in Philadelphia ... electronic Clinical Outcome Assessment product of its kind to fully ... Bracket eCOA 6.0 is a flexible platform for ...
(Date:6/23/2016)...  Guerbet announced today that it has been named ... . One of 12 suppliers to receive ... support of Premier members through exceptional local customer service ... to lower costs. ... outstanding customer service from Premier," says Massimo Carrara ...
Breaking Medicine Technology: