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:6/20/2017)... DIEGO, California (PRWEB) , ... June 20, 2017 ... ... product documentation and help content solutions for the enterprise, is proud to announce ... properties, including CRM, e-commerce, ticketing systems, company websites, and more to provide a ...
(Date:6/20/2017)... Cincinnati, Ohio (PRWEB) , ... June 20, 2017 ... ... with gum disease in Cincinnati, OH for leading-edge care, whether or ... advances in laser dentistry. Using the BIOLASE WaterLase® iPlus™ laser, she targets bacteria ...
(Date:6/20/2017)... ... June 20, 2017 , ... With certifications and experience ... in Denville, NJ, Drs. Adam and Hal Kimowitz are currently accepting new patients at ... traditional orthodontics can cause for some patients, which is why they offer the latest ...
(Date:6/20/2017)... ... June 20, 2017 , ... This year, participants ... focused on finding product improvements that could reduce the occurrence of unplanned extubations ... need help breathing or to provide medication. Sometimes, patient movement can cause unplanned ...
(Date:6/20/2017)... , ... June 20, 2017 , ... ... makers of SweetLeaf® Stevia Sweetener, Michael P. May, Ph.D., recently accepted the distinguished ... Export Recognition Program selected Wisdom Natural Brands (WNB), and 16 other businesses from ...
Breaking Medicine News(10 mins):
(Date:6/12/2017)... June 12, 2017 Kineta, Inc., a biotechnology company ... Kineta Vice President of R&D and Head of Virology ... Pandemic Preparedness for the Northwest and Beyond meeting sponsored ... June 14, 2017 from 8:30-10:30 AM PDT at the Agora ... Dr. Bedard will be joined by other leaders ...
(Date:6/8/2017)... Fla. , June 8, 2017  Less than ... that hit more than 200,000 companies, including hospital networks, ... being heralded as one of the largest online extortion ... in the healthcare market, it is imperative that providers ... protect their data from this — and many other ...
(Date:6/7/2017)... June 6, 2017  Diplomat Specialty Infusion Group, a brand of ... to its Iowa location. The ... now features an ISO 7 cleanroom—the standard needed to compound ... a low level of pollutants. ... consumers and better serve our Iowa patients," ...
Breaking Medicine Technology: