Navigation Links
Unmet medical needs are most common among vulnerable children
Date:1/26/2009

ANN ARBOR, Mich. Despite recent government efforts, the medical needs of about six million children in the United States are not being met, according to data from as recent as 2006. Even more troubling, researchers say, is the substantial growth in those numbers, from approximately 4.5 million children in 1998.

Children without insurance and children without a regular source of health care are the most likely to report unmet medical needs, suggesting that improvements are essential in government efforts to address the health of vulnerable children, according to a new study from the University of Michigan C.S. Mott Children's Hospital.

Researchers also found that Hispanic children are uninsured at higher rates and do not have a regular place to seek medical attentionknown as a usual source of care (USC). The study appears in the new issue of the journal Pediatrics.

Researchers from the Child Health Evaluation and Research (CHEAR) Unit in the U-M Division of General Pediatrics set out to find how the proportions of publicly insured children (Medicaid and the State Child Health Insurance Program, or SCHIP) and uninsured children without a USC had changed over time (1998-2006).

The time period in the study was chosen so that researchers could evaluate the influence of two federal programs in providing a USC for vulnerable children. SCHIP was initiated by the federal government in 1997 to expand health coverage to children. The President's Health Center Initiative (PHCI) was launched in 2002 with a goal of expanding health centers in medically underserved communities.

Researchers found significant decreases in the proportions of children that were privately insured. In addition, increasing proportions of uninsured children reported having no USC over the study period.

Compared with a child covered with private insurance, the odds of reporting unmet medical needs increased steadily among uninsured children between 1998 and 2006, from 4.7 to 6.2. In addition, the odds of reporting unmet medical needs among children without a USC rose from 3.7 to 5.3 compared with children who identified a private office as a USC.

"Our research shows that these government programs have not yet fully addressed the health care needs of the most vulnerable children," says lead study author Leesha K. Hoilette, M.D., a pediatric health services research fellow with the CHEAR Unit.

"As the nation continues to focus on the future of health care, and, in particular, health care for children, it seems insufficient to focus policy efforts on either health care coverage or access alone," Hoilette says. "Initiatives must be targeted in tandem to increase both coverage and access and reduce unmet medical need."

Researchers analyzed data from the Centers for Disease Control and Prevention's National Health Interview Survey. Their findings show:

  • The distribution of children according to insurance status changed significantly in 2006 from 1998, with higher proportions enrolled in public programs and lower proportions privately insured.
  • The proportion of uninsured children has remained stable from 2002-2006, at approximately 10 percent. However, the proportion of uninsured reporting no USC increased over the same time period. (23 percent in 2006).
  • Hispanic children now constitute the largest proportions of uninsured children and those reporting no USC.
  • Private offices continued to be a USC for the bulk of children regardless of insurance status. However, the proportions of uninsured and SCHIP-enrolled children who identified a private office as a USC has decreased recently.
  • With increasing proportions of uninsured children reporting no USC despite the overall proportion remaining stable, there is troubling shift toward reporting no USC, the researchers say.
  • Uninsured children and children without a USC reported the highest odds of unmet medical need, compared with privately insured children with a USC. These trends were stable over the study period.
  • Publicly insured children have two times the odds of reporting an unmet medical need compared with the privately insured, revealing a dichotomy that warrants attention on how to address this continuing disparity, Hoilette says.


'/>"/>

Contact: Katie Vloet
kgazella@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. New USAID grant helps Georgetown meet unmet family planning needs worldwide
2. Haemacure Discloses Positive Results of a preclinical study of its fibrin sealant in adhesion prevention and opens a new opportunity in a market with a significant unmet medical need
3. Uninsured kids in middle class have same unmet needs as poor
4. New SCHIP enrollees have unmet health care needs
5. Federal Health Plan for Children Still Leaves Needs Unmet
6. Cancer survivors are living in limbo with unmet needs for care
7. As Consumers Feel Financial Burden of Increasing Health Care Costs, Health Plans Have Opportunity to Address Unmet Consumer Needs and Become Trusted Advisors
8. Global Attention to Snakebites Is Unmet
9. Health Needs of Autistic Children Often Unmet
10. MSU engineering team designs innovative medical device
11. ATS Medical to Present at the 2007 Thomas Weisel Partners Healthcare Conference
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/1/2017)... ... March 01, 2017 , ... ... permanently embedded anti-odor solution to cotton knit and woven fabrics. , Retail ... maintaining the luxurious look and feel of cotton. Cotton Incorporated has developed ...
(Date:3/1/2017)... HILLS, CA (PRWEB) , ... March 01, 2017 , ... ... cryoablation for the treatment of early stage breast cancer and where it fits in ... Genes & The Choices We Make .” The event brings together leading cancer and ...
(Date:3/1/2017)... ... March 01, 2017 , ... Expert on international living and leading a ... & Go. , Time & Go app is the ultimate strategic compass that helps ... time management methods enable people to work smarter, not harder, that's why Time & ...
(Date:3/1/2017)... York, NY & Greenwich, CT (PRWEB) , ... March 01, 2017 ... ... many runners, especially in the winter months when people don’t want to stop training ... the knees – and setting the treadmill to a small incline can help protect ...
(Date:3/1/2017)... ... March 01, 2017 , ... “McFarnia”: a suspenseful tale of ... truth about his life and mysterious disappearance. “McFarnia” is the creation of published author ... North Carolina. He currently serves as a Chaplain with Transport for Christ at a ...
Breaking Medicine News(10 mins):
(Date:3/1/2017)... Calif. , March 1, 2017   Sun Chlorella ... about all things chlorella, is pleased to announce Non-GMO Project ... premium chlorella powder. Just in time for the ... in Anaheim, CA , Sun Chlorella Corp. ... all chlorella products, including: Sun Chlorella ...
(Date:3/1/2017)... 2017  Integrated Modular Design (IMD), a ... implementation of pre-fabricated healthcare products like bathroom ... seeks to lead the construction industry toward ... Fueled by their leading-edge pre-fabrication solutions, ... construction timelines and project risk, and increasing ...
(Date:3/1/2017)... 1, 2017  Global biotherapeutics leader CSL Behring ... ever Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) trial, known as ... reatment with H izentra ® ).  The Phase ... safety and tolerability of two different doses of CSL ... Subcutaneous [Human]), compared with placebo, in the maintenance treatment ...
Breaking Medicine Technology: