Navigation Links
Children with public health insurance less likely to receive comprehensive primary care
Date:7/15/2011

ANN ARBOR, Mich. Children with public insurance are 22 percent less likely to receive comprehensive primary care than those with private insurance, according to new research from the University of Michigan Medical School.

Public insurance programs cover one-third of U.S. children, many of whom belong to the most vulnerable groups, including minorities, the underprivileged and those in poor health. This includes children covered by Medicaid and the Children's Health Insurance Program (CHIP).

The study, available online ahead of print in Academic Pediatrics, determined how often children with public health insurance reported having a 'medical home,' a model for pediatric primary care endorsed by the American Academy of Pediatrics (AAP).

The medical home approach, which is heavily promoted across the country, is designed to facilitate partnerships between patients, parents and care providers. According to the AAP, a medical home is "accessible, continuous, comprehensive, family centered, coordinated, compassionate, and culturally effective." It is often touted as a method of providing excellent pediatric primary care.

Researchers analyzed data from the 2007 National Survey of Children's Health phone survey of households with children ages 0-17, which was conducted by the National Center for Health Statistics. To determine whether they were getting medical home services, the survey asked parents about their child's usual source of care, familiarity with a personal doctor/nurse, difficulty of obtaining referrals, access to family centered care and communication between care providers.

Only 45 percent of children with public insurance met all five of these components, far less than the 67 percent of children with private insurance.

"Because of their vulnerabilities, children with public insurance are a prime target for efforts to promote the medical home," says Joseph S. Zickafoose, M.D., Clinical Lecturer in Pediatrics and Communicable Diseases at the U-M Medical School, "However, until now, we knew very little about how often children with public insurance received care consistent with a medical home."

The biggest differences between children with public and private insurance were found in family-centered care with significantly fewer parents of publicly-insured children reporting that their child's provider spent enough time, listened carefully, displayed sensitivity towards family values and customs, and provided needed information.

However, over 90 percent of children with public insurance reported having a usual source of medical care and a personal doctor. Given that this group has historically faced challenges in accessing and maintaining primary care, the researchers say this was very encouraging.

"Primary care is the cornerstone of health care for children. These results suggest that efforts to improve access to primary care for children with public insurance have been very successful," says Zickafoose, lead author of the study.

This study is the first to find such associations between a composite measure of the medical home and type of insurance in a broad cross-section of children. The findings provide a national benchmark for state programs promoting the medical home for publicly- and privately-insured children.

"While we need to continue to assure adequate access to primary care for publicly- insured children, we also need to pay attention to the care they receive once they're in the door," says Zickafoose, "Particularly for family-centered care, we have a long way to go."


'/>"/>

Contact: Lauren McLeod
lemcleod@med.umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Amway One by One Campaign for Children Reaches 7 Million Kids
2. Exposure to secondhand smoke among children in England has declined since 1996
3. One Month after Major Quake, Ongoing Crises for Haitian Children
4. Groundbreaking Principal and Contributor on Dr. Oz Show Releases His Latest Book on How We Can Influence the Lives of Children
5. Children With Cerebral Palsy Benefitting From New Physical Therapy Regimen
6. Als Angels Love and Laughter Event to Support Children and Families in Desperate Need
7. If children wont go to school
8. Parents often wait too long to treat childrens asthma symptoms
9. Hypnosis can relieve symptoms in children with respiratory diseases
10. National Network of Digital Schools, SlateXP and UMPS CARE Raise $75,000 for Children
11. Father Channels His Grief into Advocacy, Promotes Simple Actions to Make Hospitals Safer for Children
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer care, and ... in the eye of the beholder, according to experts who offered insights and commentary ... of Managed Care. For the full issue, click here . , For the ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are ... with endometriosis. These women need a treatment plan to not only alleviate symptoms ... can help for preservation of fertility and ultimately achieving a pregnancy. The specialists ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the largest ... as the Medical Director of its new Mesquite-Samuell Farm facility. , “We are ... Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published ... unfamiliar with. The article goes on to state that individuals are now more comfortable ... less common operations such as calf and cheek reduction. The Los Angeles area medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016  Arkis BioSciences, a leading innovator ... more durable cerebrospinal fluid treatments, today announced it ... funding is led by Innova Memphis, followed by ... private investors.  Arkis, new financing will accelerate the ... market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Dialysis Devices Global Market - Forecast to 2022" report ... is the treatment method for the patients with kidney failure, ... and excess fluid from the patient,s blood and thus the ... sodium, potassium and chloride in balance. Increasing ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic ... Coating, Parenteral) - Global Forecast to 2021" report ... The global pharmaceutical excipients market is projected to ... of 6.1% in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: