Navigation Links
Insured Kids With Uninsured Parents Miss Needed Health Care
Date:9/16/2009

Study finds they're more likely to go without checkups, preventive counseling,,,,

THURSDAY, Sept. 17 (HealthDay News) -- Children with health insurance coverage are more likely to miss necessary health-care services if their parents are uninsured, new research shows.

These children are at greater risk of having difficulty seeing a doctor, getting dental care and accessing prescription medications than kids in families where children and parents are insured. They're also less likely to receive counseling on healthy eating, routine exercise, use of a safety or booster seat, and use of seatbelts and bike helmets, the study found.

The findings highlight the need to improve the current model of extending health insurance to children, but not necessarily to their parents, the study authors said.

"We've been incrementally covering more and more kids, and that's important, but we can't stop there," said study lead author Dr. Jennifer E. DeVoe, an assistant professor in the Department of Family Medicine at Oregon Health and Science University in Portland. "We need to make sure that families are covered -- kids and parents."

More than one in four children in the United States -- 29 percent -- have health coverage through either Medicaid or the Children's Health Insurance Program (CHIP), according to the Henry J. Kaiser Family Foundation. Currently, some 29 million children are enrolled in Medicaid, and another 7 million are covered through CHIP, the foundation said.

While these public programs are considered vital for improving children's health, they are only part of the solution, experts say.

"In the public-policy arena, there is often a tendency to consider children a 'deserving' population who should have greater access than adults to publicly sponsored health insurance," said Shana Alex Lavarreda, a research scientist for the Center for Health Policy Research at the University of California, Los Angeles, and director of health insurance studies. CHIP is a prime example, she explained.

"But if you really care about improving access to health care for children, their parents' needs for health insurance coverage shouldn't be ignored," Lavarreda said.

For the study, DeVoe and her colleagues pooled five years of data from a national survey of U.S. households. The sample included more than 43,000 children ages 2 to 17.

To assess children's access to health care, the researchers looked at a number of variables, including gaps in coverage over the previous 12 months, no usual source of care, no doctor visits in the past year, fewer than yearly dental visits, and other problems accessing health care and preventive counseling services.

Not surprisingly, uninsured children had the highest rates of unmet health-care needs. But the study also showed an association between parents' insurance status and children's access to health care.

"Parents who are themselves uninsured may have other constraints on whether they can get health care for their children," Lavarreda noted. They may not be able to take time from work to take their children to the doctor, for example, she said.

"Additionally, parents who are uninsured may have difficulties navigating the health-care system and may be unfamiliar with how to obtain services," Lavarreda said.

The authors found no significant difference in preventive counseling services by race or ethnicity. Hispanic children were actually less likely to miss out on preventive counseling compared with non-Hispanic whites. DeVoe said she suspects that these families are accessing care through community health centers, where nurses, nursing assistants and other non-physician clinicians are spending time counseling families.

Even in families where the parents and children are insured, significant percentages lack preventive counseling, which suggests that the problem isn't just one of insurance status. The model of care can also make a difference, the researchers said.

"The way that care is set up in the majority of clinics across the country is the child checks in for their visits, sees a physician for a very short period of time and, increasingly, there's more and more counseling and medical information that's required to be communicated to the family," DeVoe said.

The study findings were published in the September/October issue of Annals of Family Medicine.

More information

Learn more about children's health insurance coverage at the Kaiser Family Foundation.



SOURCES: Jennifer E. DeVoe, M.D., D.Phil., assistant professor, Department of Family Medicine, Oregon Health and Science University, Portland; Shana Alex Lavarreda, Ph.D., research scientist, Center for Health Policy Research, and director, health insurance studies, University of California, Los Angeles; Henry J. Kaiser Family Foundation, Menlo Park, Calif.; September/October 2009, Annals of Family Medicine


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Governor Rendell Offers adultBasic Coverage to 35,000 Uninsured Pennsylvanians
2. AUDIO from Medialink and Pfizer: Number of Uninsured Americans Grows to 47 Million
3. Regence Offers InterM to Fill Gap for the Uninsured
4. Patient Advocate Foundation Launches Program to Help Uninsured Virginians with Chronic, Debilitating and Life-Threatening Illness Access Quality Healthcare
5. Uninsured community health center patients often have difficulty accessing specialty services
6. Congress Poised to Add Millions of Uninsured Children to Successful, Bipartisan Health Plan
7. Catholic Health Association to Congress and President Bush: Uninsured Children Need Your Help Now
8. Free Prescription Drug Program Uses Internet to Deliver Cards - Offers Assistance to Uninsured
9. Blue Cross Blue Shield of Michigan Launches Effort in Five Michigan Cities with Department of Community Health to Enroll Uninsured Children in MIChild
10. DNC: Romney Chooses President Bush Over Uninsured Children
11. Op-Ed: Free Treatment for Breast Cancer Patients Who Are Uninsured
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ... , "Film editors can give their videos a whole new perspective by using the ... CEO of Pixel Film Studios. , ProSlice Levels contains over 30 Different presets ...
(Date:6/25/2016)... ... ... Austin residents seeking Mohs surgery services, can now turn to Dr. Jessica ... Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to include Mohs ... Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn Goldstein, ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... recover from injury. Recently, he has implemented orthobiologic procedures as a method for ... is one of the first doctors to perform the treatment. Orthobiologics are substances ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World ... with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the ...
(Date:6/24/2016)... Diego, CA (PRWEB) , ... June 24, 2016 , ... ... with the American Cancer Society and the Road To Recovery® program to drive cancer ... to seniors and other adults to ensure the highest quality of life and ongoing ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... CHAPEL HILL, N.C. , June 24, 2016 ... in healthcare decisions and regulators/payers have placed more ... this new environment, patient support programs in the ... support for patients, medications. Consequently, pharmaceutical companies are ... to ensure they are providing products and services ...
(Date:6/24/2016)... CAMBRIDGE, Mass. , June 24, 2016 /PRNewswire/ ... the Spaulding Rehabilitation Network,s Dean Center for ... of Physical Medicine and Rehabilitation, MIT Hacking Medicine, ... Center for Innovation, today announced the five finalists ... Hackathon for Lyme disease.  More than 100 scientists, ...
(Date:6/24/2016)... 2016 The Academy of Managed Care Pharmacy ... that would allow biopharmaceutical companies to more easily share ... formulary and coverage decisions, a move that addresses the ... The recommendations address restrictions in the sharing ... drug label, a prohibition that hinders decision makers from ...
Breaking Medicine Technology: